Individual
NIKKI MARIE WILBORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NNP
Contact information
Practice address
276 NORTHSIDE RD, VICTORIA, TX 77904-5227
(361) 571-3773
Mailing address
276 NORTHSIDE RD, VICTORIA, TX 77904-5227
(361) 571-3773
Taxonomy
Speciality
Code
Description
License number
State
163WN0002X
Neonatal Intensive Care Registered Nurse
769486
TX
363LN0000X
Neonatal Nurse Practitioner
Primary
AP136321
TX
Other
Enumeration date
09/28/2017
Last updated
07/21/2022
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