MS. MILLIE B WILSON
NPI 1306056668
Licensed Psychiatric Technician in Vallejo, CA

Active since May 23, 2007
1113 PORTER ST APT C, VALLEJO, CA 94590(505) 977-1316 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Ms. Millie B Wilson NPPES

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

MS. MILLIE B WILSON (NPI 1306056668) is an individual licensed psychiatric technician provider in Vallejo, California, licensed in California (PT 21765) and active in the NPI registry since May 2007.Information from the official NPPES registry record, last updated July 8, 2007.

NPPES Registry Identity

NPI1306056668
Entity TypeIndividualFemale
Provider Legal NameMS. MILLIE B WILSON
Location Address1113 PORTER ST APT CVallejo, CA 94590-7910
Mailing Address1113 Porter St Apt CVallejo, CA 94590-7910 · (505) 977-1316
Sole ProprietorNo
Enumeration DateMay 23, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1306056668 is a valid, active identifier and passes the ISO check-digit test. How NPI validation works

Primary Specialty

Licensed Psychiatric Technician

Taxonomy 167G00000X · Nursing Service Providers

Licensed in CA · PT 21765

An individual licensed by the state board as a Psychiatric Technician based upon completion of a prescribed course of theory and clinical practice, with two thirds of the… Show more

1113 PORTER ST APT C, Vallejo, CA 94590

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1306056668, enumerated as an "individual" on May 23, 2007.

The provider is located at 1113 PORTER ST APT C VALLEJO, CA 94590 and the phone number is (505) 977-1316.

Licensed Psychiatric Technician with taxonomy code 167G00000X.