MIRANDA RENEE WILSON FNP
NPI 1194485532
Family Medicine in Claremont, CA

Active since December 27, 2021
354 W FOOTHILL BLVD, CLAREMONT, CA 91711(909) 624-1215 Get Directions Write a Review

NPPES record last updated: December 27, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Miranda Renee Wilson Fnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MIRANDA RENEE WILSON FNP (NPI 1194485532) is an individual family medicine provider in Claremont, California, licensed in California (95019330) and active in the NPI registry since December 2021.

NPPES Registry Identity

NPI1194485532
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameMIRANDA RENEE WILSONCredential: FNP
Location Address354 W FOOTHILL BLVDClaremont, CA 91711-2709
Mailing Address14051 Robin Crest LnChino Hills, CA 91709-4822 · (951) 751-5233
Sole ProprietorYes
Enumeration DateDecember 27, 2021
NPPES CertifiedDecember 27, 2021
NPI 1194485532 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in CA · 95019330
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
354 W FOOTHILL BLVD, Claremont, CA 91711

Other Identifiers 1

Medicaid95019330CA

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist (General Practice)
354 W FOOTHILL BLVD
CLAREMONT, CA 91711
Nurse Practitioner
354 W FOOTHILL BLVD
CLAREMONT, CA 91711

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Miranda Wilson's NPI number?

The NPI number for Miranda Wilson is 1194485532. It was assigned to this individual provider in the NPPES registry on December 27, 2021.

Where is Miranda Wilson located?

Miranda Wilson practices at 354 W Foothill Blvd, Claremont, CA 91711. The listed phone number is (909) 624-1215.

What is Miranda Wilson's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Miranda Wilson was last updated on December 27, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.