| Doctor Name: | MS. NATALIE DAWN WILSON |
| NPI Number: | 1336431691 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | N.P. |
| License Number: | 336699 |
| Business Practice Address: | 22601 Pacific Coast Hwy. Suite 240 Malibu, CA - 90265 |
| Business Phone Number: | 3104566505 |
| Business Fax Number: | 3104568105 |
| Mailing Address: | 22601 Pacific Coast Hwy., Suite 240 MALIBU |
| State: | CA |
| Postal Code: | 90265 |
| Phone Number: | 3104566505 |
| Fax Number: | 3104568105 |
| NPI Enumeration Date: | 05/04/2011 |
| NPI Last Update Date: | 12/26/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 336699 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NY |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |