Individual
JANA VIETH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
4327 BARNETT RD, WICHITA FALLS, TX 76310-2303
(940) 764-5200
Mailing address
4327 BARNETT RD, WICHITA FALLS, TX 76310-2303
(940) 764-5200
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP135727
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AP135727
TEXAS BOARD OF NURSING
TX
Enumeration date
11/06/2017
Last updated
12/29/2023
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