Provider Demographics
NPI:1275044711
Name:DILWORTH, VERONICA (FNP-C)
Entity Type:Individual
Prefix:MRS
First Name:VERONICA
Middle Name:
Last Name:DILWORTH
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3225 MILLBURN CT
Mailing Address - Street 2:
Mailing Address - City:THE COLONY
Mailing Address - State:TX
Mailing Address - Zip Code:75056-6493
Mailing Address - Country:US
Mailing Address - Phone:972-890-2374
Mailing Address - Fax:
Practice Address - Street 1:3550 PARKWOOD BLVD STE 600
Practice Address - Street 2:
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75034-1915
Practice Address - Country:US
Practice Address - Phone:972-377-8800
Practice Address - Fax:972-377-8808
Is Sole Proprietor?:No
Enumeration Date:2017-10-23
Last Update Date:2020-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX891161163W00000X
TXAP135580363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse