Individual
WYLAN WADE ROSSER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP-C
Contact information
Practice address
502 HERRING ST, ALVIN, TX 77511-3321
(281) 685-5234
Mailing address
502 HERRING ST, ALVIN, TX 77511-3321
(281) 685-5234
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
AP127821
TX
363LG0600X
Gerontology Nurse Practitioner
AP127821
TX
Other
Enumeration date
05/08/2015
Last updated
05/08/2015
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