Provider Demographics
NPI:1790124428
Name:NAZARETH, WILHELMINA GARCIA (FNPC)
Entity Type:Individual
Prefix:MRS
First Name:WILHELMINA
Middle Name:GARCIA
Last Name:NAZARETH
Suffix:
Gender:F
Credentials:FNPC
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Mailing Address - Street 1:6306 GULFTON ST
Mailing Address - Street 2:SUITE 101
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77081-1117
Mailing Address - Country:US
Mailing Address - Phone:713-981-6151
Mailing Address - Fax:832-433-7861
Practice Address - Street 1:6306 GULFTON ST
Practice Address - Street 2:SUITE 101
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77081-1117
Practice Address - Country:US
Practice Address - Phone:713-981-6151
Practice Address - Fax:832-433-7861
Is Sole Proprietor?:Yes
Enumeration Date:2013-06-16
Last Update Date:2013-06-16
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TX528591363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily