Individual
TRIXANNE WILMOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
705 10TH AVE, CANYON, TX 79015-5135
(806) 324-7400
Mailing address
705 10TH AVE, CANYON, TX 79015-5135
(806) 324-7400
Taxonomy
Speciality
Code
Description
License number
State
163WP0807X
Child & Adolescent Psychiatric/Mental Health Registered Nurse
Primary
727898
TX
Other
Enumeration date
07/05/2007
Last updated
07/08/2007
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