Doctor Name: | WANDA ISBELL |
NPI Number: | 1336547165 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | APRN-BC |
License Number: | 606715 |
Business Practice Address: | 12120 Savage Dr Midway, TX - 758523654 |
Business Phone Number: | 9363483751 |
Business Fax Number: | 9363483751 |
Mailing Address: | 12120 Savage Dr, MIDWAY |
State: | TX |
Postal Code: | 758523654 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 12/10/2014 |
NPI Last Update Date: | 12/10/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LA2100X |
License Number: | 606715 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Acute Care |
Taxonomy Definition: |