Organization · Type 2 NPI
Wonderfully Made Wellness Sanctuary
Family Nurse Practitioner · Mckinney, TX
NPI number
1114552916
Active
Practice location
105 S. Tennessee Street Suite 102
Mckinney, TX 75069
Fax (469) 631-0209
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | None listed |
| Critical Care Neonatal Nurse Practitioner | 363LN0005X | None listed |
Family Nurse Practitioner: Definition to come...
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About NPI 1114552916
Wonderfully Made Wellness Sanctuary's National Provider Identifier is 1114552916, issued on Mar 12, 2020. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Mckinney, TX. The record was last updated on Sep 3, 2020.