Organization · Type 2 NPI
La Ideal Wound Inc
Nurse Practitioner · Monroe, TX
Practice location
201 Victory Blvd, Suite 287
Monroe, TX 71203
Mailing address
1810 8th Ave Ste A101
Fort Worth, TX 76110-1352
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Medicine Physician | 207Q00000X | None listed |
| Nurse Practitioner Primary | 363L00000X | None listed |
Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…
About NPI 1720964349
La Ideal Wound Inc's National Provider Identifier is 1720964349, issued on Aug 12, 2025. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Monroe, TX. The record was last updated on Aug 12, 2025.