Provider Demographics
NPI:1881782357
Name:VIRE, JUDY B (RN,FNP-C)
Entity type:Individual
Prefix:
First Name:JUDY
Middle Name:B
Last Name:VIRE
Suffix:
Gender:F
Credentials:RN,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:PO BOX 369
Mailing Address - Street 2:
Mailing Address - City:SCHULENBURG
Mailing Address - State:TX
Mailing Address - Zip Code:78956-0369
Mailing Address - Country:US
Mailing Address - Phone:979-743-3520
Mailing Address - Fax:979-743-3542
Practice Address - Street 1:40 EAST AVE
Practice Address - Street 2:
Practice Address - City:SCHULENBURG
Practice Address - State:TX
Practice Address - Zip Code:78956-1611
Practice Address - Country:US
Practice Address - Phone:979-743-3520
Practice Address - Fax:979-743-3542
Is Sole Proprietor?:No
Enumeration Date:2006-10-10
Last Update Date:2024-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX513589363LF0000X
TXAP104042363LF0000X, 363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily