Individual
KIMBERLY WINGARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-BC, PMHNP-BC
Contact information
Practice address
6302 BROADWAY ST STE 130, PEARLAND, TX 77581-7859
(832) 913-1118
(832) 575-5494
Mailing address
7104 FANNIN ST, PEARLAND, TX 77584-1112
(832) 913-1118
(832) 575-5494
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
AP138558
TX
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
API138558
TX
Other
Enumeration date
09/26/2018
Last updated
05/21/2024
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