| Elizabeth Nicole Wilson, NP | |
|
12395 El Camino Real Ste 209, San Diego, CA 92130-3084 | |
| (858) 224-1866 | |
| Not Available |
| Full Name | Elizabeth Nicole Wilson |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 3 Years |
| Location | 12395 El Camino Real Ste 209, San Diego, California |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306421128 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | 95229135 (California) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 95026691 (California) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Dr Pm Corp | 0244679900 | 2 |
| Entity Name | Dr Pm Corp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538932777 PECOS PAC ID: 0244679900 Enrollment ID: O20240415003220 |
| Entity Name | Healing To You |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003590357 PECOS PAC ID: 8224555602 Enrollment ID: O20250508002814 |
| Mailing Address | Practice Location Address |
|---|---|
| Elizabeth Nicole Wilson, NP 12395 El Camino Real Ste 209, San Diego, CA 92130-3084 Ph: () - | Elizabeth Nicole Wilson, NP 12395 El Camino Real Ste 209, San Diego, CA 92130-3084 Ph: (858) 224-1866 |
Lorena Marie Fujii, N.P. Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 34800 Bob Wilson Dr, San Diego, CA 92134 Phone: 619-532-8910 | |
Susan Kermoian Yaszay, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 823 Gateway Center Way, San Diego, CA 92102 Phone: 619-515-2300 Fax: 619-232-1360 | |
Dale Michael Trujillo, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 200 W Arbor Dr, San Diego, CA 92103 Phone: 800-926-8273 | |
Amina Michelle Heise, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 8110 Birmingham Way Bldg 28, 2nd Floor, San Diego, CA 92123 Phone: 858-966-4003 Fax: 858-560-6798 | |
Amy M Sorgent, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 7995 Armour St, San Diego, CA 92111 Phone: 858-637-4262 | |
Blanca Estela Cardenas, FNP, MSN, PHN, RN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2801 Camino Del Rio S Ste 204-1, San Diego, CA 92108 Phone: 619-426-9731 Fax: 619-426-9733 | |
Mrs. Andrea S. Higginbotham, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 13280 Evening Creek Dr S Ste 225, San Diego, CA 92128 Phone: 877-257-0637 |