Individual provider · Type 1 NPI
Iris Cassandra Wico
Family Nurse Practitioner · Laredo, TX
NPI number
1689499634
Active
Practice location
1700 E Saunders St
Laredo, TX 78041-5474
Mailing address
310 Silver Leaf Oak Dr
Laredo, TX 78045-6853
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 884944 (TX) |
| Family Nurse Practitioner Primary | 363LF0000X | 1180549 (TX) |
Family Nurse Practitioner: Definition to come...
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About NPI 1689499634
Iris Cassandra Wico's National Provider Identifier is 1689499634, issued on Nov 15, 2024. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Laredo, TX. The record was last updated on Nov 25, 2024.