NPI 1003431370

Miracle Elaine Wilson

Practitioner Peer Specialist Sacramento, CA

Practice location

Address: 8912 Volunteer Ln, Sacramento, CA 95826-3221
Phone: (916) 344-0199

Registered specialties (2)

Peer Specialist Primary

Other Service Providers Taxonomy 175T00000X

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Case Manager/Care Coordinator

Other Service Providers Taxonomy 171M00000X

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Registry record

NPI: 1003431370
Entity type: Individual
Sex (as registered): Female
NPI issued: 12 Jun 2020
Record last updated: 15 Jan 2026

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.