Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363LP0200X | Nurse Practitioner - Pediatrics | 702772 | TX |
Y | 363LP2300X | Nurse Practitioner - Primary Care | 702772 | TX |
NPI | 1003139833 |
---|---|
Provider Name | Valerie Elise Ward |
First Address | Dallas, TX 75373-3784 |
Second Address | Fort Worth, TX 76105-4164 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/03/2010 |
Last Update Date | 14/04/2021 |