Individual
ALICIA DANIELLE WILMETH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
4201 S LOOP 256, PALESTINE, TX 75801-8476
(903) 723-8533
Mailing address
4201 S LOOP 256, PALESTINE, TX 75801-8476
(903) 723-8533
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
1071478
TX
363LP2300X
Primary Care Nurse Practitioner
Primary
1071478
TX
Other
Enumeration date
02/24/2022
Last updated
02/24/2026
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