Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MIRANDA RENEE WILSON, FNP
Active Sole ProprietorMIRANDA RENEE WILSON, FNP is a Family Medicine healthcare provider located in CLAREMONT, California. NPI 1194485532 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · CLAREMONT, CA
Registration Details
- NPI Number
- 1194485532
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Dec 27, 2021 (4.6449919786858 yrs)
- Last Updated
- Dec 27, 2021
- License
-
95019330 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
354 W FOOTHILL BLVDCLAREMONT, CA, 917112709Browse CA providers · Browse ZIP 91711
- Phone
- 9096241215
- Primary Specialty
-
Family Medicine
207Q00000X
Other Family Medicine Providers in CLAREMONT, CA
| Name | Credential | NPI |
|---|---|---|
| DR. PAUL D. ORR | M.D. | 1417950221 |
| DUANE W STYLES | MD | 1285634485 |
| LESTER SAMUEL HOLSTEIN III | MD | 1720088792 |
| YEN INGRID LAI | MD | 1033110671 |
| DR. JENNIFER CHIA JUNE SUN | M.D. | 1558352583 |
| ROBYN DIANE JACOBY | DO | 1487623575 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.