Individual provider · Type 1 NPI
Chance Wilham, NNP
Neonatal Nurse Practitioner · San Antonio, TX
NPI number
1710711296
Active
Practice location
4502 Medical Dr
San Antonio, TX 78229-4402
Mailing address
903 W Martin St
San Antonio, TX 78207
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Neonatal Nurse Practitioner Primary | 363LN0000X | 1173065 (TX) |
Neonatal Nurse Practitioner: Definition to come...
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About NPI 1710711296
Chance Wilham, NNP's National Provider Identifier is 1710711296, issued on Aug 28, 2024. The primary taxonomy on file is Neonatal Nurse Practitioner (363LN0000X), and the practice location is in San Antonio, TX. The record was last updated on Aug 28, 2024.