Individual
MADARE E PREVILOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ACNP-BC
Contact information
Practice address
17200 ST LUKES WAY, THE WOODLANDS, TX 77384-8007
(936) 266-2000
Mailing address
17200 ST LUKES WAY, THE WOODLANDS, TX 77384-8007
(936) 266-2000
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
753525
TX
363LA2100X
Acute Care Nurse Practitioner
AP116925
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
208607603
—
TX
Enumeration date
01/17/2009
Last updated
05/03/2024
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