Individual
IDALIA VIARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
610 GRASSMERE TER, FAR ROCKAWAY, NY 11691-2535
(941) 587-6712
Mailing address
1400 WOODLOCH FOREST DR, THE WOODLANDS, TX 77380-1100
(941) 587-6712
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
761298
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
1017344
TX
Other
Enumeration date
01/02/2019
Last updated
04/26/2024
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