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

Mary Kay Wilson I

Individual provider Licensed Vocational Nurse · NPI 1972284594

Mary Kay Wilson I is a Licensed Vocational Nurse in San Clemente, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2023
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Practice location Address checks out

248 Avenida Monterey Apt B
San Clemente, CA 92672-1972
Phone: (951) 536-9221
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Licensed Vocational Nurse (primary) Taxonomy 164X00000X · Licence VN233656 (CA)

Record details

NPI number1972284594
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJuly 27, 2023
Last updated in NPPESJuly 27, 2023
Certification dateJuly 26, 2023

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