Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Maria Theresa Liceralde Wyson, MSN, FNP-C

Individual provider Family Nurse Practitioner · NPI 1861769648

Maria Theresa Liceralde Wyson, MSN, FNP-C is a Nurse Practitioner in Elk Grove, California. Qualified in 2011, 15 years ago. Practices with American River Urgent Care Inc, a 6-clinician group. Licensed in California.

Years since qualifying
15
Licensed in
CA
In the registry since
2011
What do these letters mean?
MSN — Master of Science in Nursing
A graduate nursing degree, usually held alongside an advanced practice licence.
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.

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Practice location Address checks out

7811 Laguna Blvd Ste 161
Elk Grove, CA 95758-7949
Phone: (916) 877-7778
Fax: (916) 896-1286
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 21360 (CA)

Record details

NPI number1861769648
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSN , FNP-C
Sole proprietorYes
NPI enumeratedNovember 22, 2011
Last updated in NPPESMarch 7, 2023
Certification dateOctober 1, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice American River Urgent Care Inc — 6 clinicians
Accepts Medicare assignment Not indicated

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