Organization · Type 2 NPI
Immaculate Minds LLC
Psychiatric/Mental Health Nurse Practitioner · Woodway, TX
NPI number
1235914300
Active
Practice location
9554 Brookhollow Dr
Woodway, TX 76712-3207
Mailing address
10412 China Spring Rd Ste F
Waco, TX 76708-5685
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | None listed |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
About NPI 1235914300
Immaculate Minds LLC's National Provider Identifier is 1235914300, issued on Aug 28, 2023. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Woodway, TX. The record was last updated on Aug 28, 2023.