MS. Lydia Kay Wilson, GNP
MS. Lydia Kay Wilson, GNP is a Nurse Practitioner in Reseda, California. Qualified in 2000, 26 years ago. Practices with Romeo L Isidro MD Inc, a 2-clinician group and accepts Medicare assignment. Licensed in California.
- Years since qualifying
- 26
- Licensed in
- CA
- In the registry since
- 2006
Practice location Address checks out
18855 Victory Blvd Attn: Billing DeptReseda, CA 91335-6445
Phone: (818) 774-3354
Fax: (818) 757-4401
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Gerontology Nurse Practitioner (primary) | Taxonomy 363LG0600X · Licence 513626 (CA) |
|---|
Record details
| NPI number | 1093729824 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | GNP |
| Sole proprietor | No |
| NPI enumerated | July 28, 2006 |
| Last updated in NPPES | March 7, 2023 |
| Certification date | December 10, 2019 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2000 (26 years in practice) |
| Group practice | Romeo L Isidro Md Inc — 2 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
Other providers in Reseda
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Maria Therese Dela Merced, NP
7012 Reseda Blvd Ste 100, Reseda, CA 91335-4219 · (747) 265-6423