Individual
DEBORAH VANDERWILT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN, FNP -C
Contact information
Practice address
508 S HIGHWAY 78, WYLIE, TX 75098-3947
(469) 782-0620
Mailing address
508 S HIGHWAY 78, WYLIE, TX 75098-3947
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1090617
TX
363LF0000X
Family Nurse Practitioner
576699
TX
Other
Enumeration date
07/11/2022
Last updated
05/03/2023
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