Organization · Type 2 NPI

Cwida, Inc

Gerontology Nurse Practitioner · Addison, TX

NPI number 1689089401 Active

Practice location

15800 Dooley Rd Ste 170
Addison, TX 75001-5712

Call (972) 661-2273 Map

Fax (866) 292-6489

Mailing address

4400 W University Blvd, Apt: 10306
Dallas, TX 75209-3876

Specialties and licenses

Taxonomy	Code	License
Gerontology Registered Nurse	163WG0600X	767459 (TX)
Gerontology Nurse Practitioner Primary	363LG0600X	AP125351 (TX)

Gerontology Nurse Practitioner: Definition to come...

About NPI 1689089401

Cwida, Inc's National Provider Identifier is 1689089401, issued on Jul 1, 2014. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Addison, TX. The record was last updated on Jul 1, 2014.