Individual
SANDRA NICOLE WINDHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
2412 N GRANDVIEW AVE STE 201, ODESSA, TX 79761-1631
(432) 272-0273
(432) 272-0357
Mailing address
2412 N GRANDVIEW AVE STE 201, ODESSA, TX 79761-1631
(432) 272-0273
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
1011655
TX
Other
Enumeration date
11/10/2020
Last updated
10/12/2023
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