NPI 1093205569

Dondirall Nicole Wallace

Practitioner Licensed Vocational Nurse Glenn Heights, TX

Practice location

Address: 304 Joseph Dr, Glenn Heights, TX 75154-3805
Phone: (682) 412-2021

Registered specialties

Licensed Vocational Nurse Primary

Nursing Service Providers Taxonomy 164X00000X Licence 227403 (TX)

Other Licensed Vocational Nurse providers in Texas →

Registry record

NPI: 1093205569
Entity type: Individual
Sex (as registered): Female
NPI issued: 10 May 2018
Record last updated: 10 May 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.