Individual
EMILY WARDELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
786713
TX
363LF0000X
Family Nurse Practitioner
AP138425
TX
363LP0200X
Pediatric Nurse Practitioner
Primary
C-APN0002783
CO
Other
Enumeration date
03/05/2021
Last updated
04/22/2021
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