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

MS. Roxanne Miles Wilson, MN, FNP/GNP, DSD, PHN

Individual provider Gerontology Nurse Practitioner · NPI 1427337559

MS. Roxanne Miles Wilson, MN, FNP/GNP, DSD, PHN is a Gerontology Nurse Practitioner in Tarzana, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2011
Specialties on file
3

Practice location Address checks out

5140 Yolanda Ave
Tarzana, CA 91356-4027
Phone: (818) 344-8646
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Gerontology Nurse Practitioner (primary) Taxonomy 363LG0600X · Licence 6708 (CA)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence RN362861 (CA)
Gerontology Nurse Practitioner Taxonomy 363LG0600X · Licence RN362861 (CA)

Record details

NPI number1427337559
Entity typeIndividual (Type 1)
GenderFemale
Credentials MN , FNP/GNP , DSD , PHN
Sole proprietorYes
NPI enumeratedAugust 7, 2011
Last updated in NPPESApril 23, 2018

Other providers in Tarzana