Individual
PRISCILLA WENNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP-AC
Contact information
Practice address
1935 MEDICAL DISTRICT DR, DALLAS, TX 75235-7701
(214) 456-7000
Mailing address
1935 MEDICAL DISTRICT DR., DALLAS, TX 75324
(575) 635-6087
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
AP127528
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AP127528
TEXAS BOARD OF NURSING APN LISC
TX
Enumeration date
03/02/2015
Last updated
03/02/2015
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