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Individual
MS. WANDA R VILLARD
Active
Individual
MS. WANDA R VILLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
789812
TX
363L00000X
Nurse Practitioner
Primary
AP119747
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
284407805
—
TX
01
—
8102NT
BCBSTX
TX
Enumeration date
12/29/2010
Last updated
04/26/2019
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