Kade Sue Wilson, RN, PHN

Individual provider Active NPI School Registered Nurse · Arbuckle, CA

NPI 1083573463 · NPPES record last updated Jan 26, 2026

Key facts

NPI
1083573463
Entity type
Individual (NPI type 1)
Primary specialty
School Registered Nurse 163WS0200X
License
806738 (CA)
Practice address
701 Hall St
Arbuckle, CA 95912-0439
Phone
(530) 476-2522
Fax
(530) 476-2234
NPI assigned
Jan 20, 2026
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
806738CAMDSchool Registered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
School Registered Nurse 163WS0200X 806738 CA Yes
Community Health Registered Nurse 163WC1500X 83055 CA

Addresses

Primary practice location

701 Hall St
Arbuckle, CA 95912-0439

Mailing address

701 Hall St
Arbuckle, CA 95912-0439
Phone (530) 476-2522

Other providers in Arbuckle, CA

All providers in Arbuckle, CA · School Registered Nurse in California

Sources for this page

Verify at the official NPI Registry.