Doctor Name: | WANDA KAY MEADOR |
NPI Number: | 1134332117 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RN, FNP-BC |
License Number: | 675522 |
Business Practice Address: | 1604 14th St Brownwood, TX - 768015314 |
Business Phone Number: | 3256465296 |
Business Fax Number: | 3256465820 |
Mailing Address: | 1604 14th St, BROWNWOOD |
State: | TX |
Postal Code: | 768015314 |
Phone Number: | 3256465296 |
Fax Number: | 3256465820 |
NPI Enumeration Date: | 05/07/2007 |
NPI Last Update Date: | 08/26/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 675522 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |