Patricia Wilson, RN
Individual provider Active NPI Community/Behavioral Health Agency · Sorrento, FL
NPI 1619348596 · NPPES record last updated Oct 17, 2015
Key facts
- NPI
- 1619348596
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Community/Behavioral Health Agency 251S00000X
- Practice address
- 22980 Lynx CT
Sorrento, FL 32776-9330 - Phone
- (407) 760-6990
- NPI assigned
- Oct 17, 2015
- Sex
- Female
- Sole proprietor
- Yes
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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Yes |
Addresses
Primary practice location
22980 Lynx CT
Sorrento, FL 32776-9330
Mailing address
22980 Lynx CT
Sorrento, FL 32776-9330
Phone (407) 760-6990
Other providers in Sorrento, FL
- TLC Family Care Home, Inc.
- Laura Elizabeth Tucker
- Vitalguard LLC
- Lisa Whittaker
- Sherilyn Rae Williams
All providers in Sorrento, FL · Community/Behavioral Health Agency in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 17, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.