Individual
CARROL ANN WADDELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
8229 ROCK CREST DR, CORP CHRISTI, TX 78414-6272
(830) 444-9427
Mailing address
8229 ROCK CREST DR, CORP CHRISTI, TX 78414-6272
(830) 444-9427
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
1012061
TX
363LF0000X
Family Nurse Practitioner
Primary
1012061
TX
Other
Enumeration date
09/08/2020
Last updated
02/01/2023
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