PEARL VALENTINA GUERRERO WAGLEY (NPI# 1063997187) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1063997187 |
Entity Type | Individual |
Full Name | PEARL VALENTINA GUERRERO WAGLEY |
Other Name | PEARL VALENTINA GUERRERO |
Credential | RN, MSN, FNP-C |
Practice Address |
1850 Hickory St Ste 102 Abilene TX 79601-2334 |
Practice Telephone | 3256772801 |
Practice Fax Number | 3256779110 |
Mailing Telephone | 3256772801 |
Mailing Fax Number | 3256779110 |
Enumeration Date | 2018-09-25 |
Last Update Date | 2018-09-25 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
F09180214 | TX | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
TX | RN LICENSE | 815835 | 01 |
TX | FNP CERTIFICATION | F09180214 | 01 |
Address | Telephone Number | Fax Number |
---|---|---|
5302 Buffalo Gap Rd Ste 100, Abilene, TX 796064247 | 3256772801 | 3257045244 |
Street Address |
1850 HICKORY ST STE 102 |
City | ABILENE |
State | TX |
Zip Code | 79601-2334 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356513220 | Emily Catherine Thomason | Pediatrics | 1850 Hickory St Ste 102, Abilene, TX 79601-2334 | 2008-03-31 |
1144755356 | Rachel Marlene Thomas | Pediatrics | 1850 Hickory St Ste 102, Abilene, TX 79601-2334 | 2017-04-25 |
1316301518 | Claudia Elizabeth Gomez | Pediatrics | 1850 Hickory St Ste 102, Abilene, TX 79601-2334 | 2016-04-13 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578161022 | Hendrick Health Urgent Care | Clinic/Center | 820 E Ambler Ave, Abilene, TX 79601 | 2020-10-15 |
1396303285 | Hardin-simmons University | Counselor | 917 Lineberry Blvd, Abilene, TX 79601 | 2019-06-05 |
1053874446 | Pharmscript of West Texas LLC | Pharmacy | 2118 E Overland Trl, Abilene, TX 79601 | 2019-04-11 |
1720523475 | Orsburn House | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 3602 N Clack, Abilene, TX 79601 | 2017-01-04 |
1316480684 | Thaddee Uwimana | Nurse Practitioner | 1749 Pine Street, Abilene, TX 79601 | 2016-11-18 |
1760938484 | Maya Natori | Specialist/Technologist | 108 Teague, Box 27916 Special Events Center Acu, Abilene, TX 79601 | 2016-09-01 |
1588016042 | Chucky Okoh | Nurse Practitioner | 13055 Sm 3522, Abilene, TX 79601 | 2016-07-08 |
1730539354 | Billy Bible | Social Worker | 1418 Newcastle Drive, Abilene, TX 79601 | 2016-06-14 |
1366840605 | Totoe Medical Group, Pllc | Internal Medicine | 1850 Hickory St., Suite 105, Abilene, TX 79601 | 2014-12-19 |
1831591395 | Abilene Christian University | Clinic/Center | 845 Coliseum Way, Abilene, TX 79601 | 2014-09-16 |
Find all providers in zip 79601 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629679782 | Kristen Aili Johnson | Nurse Practitioner | 3850 Fm 18, Abilene, TX 79602-2004 | 2020-11-05 |
1982202990 | Melanie Ann Koscienski | Nurse Practitioner | 798 Key Ln, Abilene, TX 79602-7602 | 2020-10-12 |
1205434321 | Katherine Addie Laws | Nurse Practitioner | 3257 Whitewing Way, Abilene, TX 79606-3335 | 2020-10-12 |
1215543483 | Molly Sims | Nurse Practitioner | 617 Running Water Trl, Abilene, TX 79602-7047 | 2020-09-22 |
1831709161 | Kelsey Ann Komechak | Nurse Practitioner | 17355 Fm 2404, Abilene, TX 79601-8292 | 2020-08-02 |
1003433343 | Jewel Monique Trancoso | Nurse Practitioner | 2600 Ivanhoe Ln Apt 204, Abilene, TX 79605-6242 | 2020-07-02 |
1134753551 | Victoria L Schafer | Nurse Practitioner | 1701 Waldrop Dr, Abilene, TX 79606-5811 | 2020-02-25 |
1043859093 | Shanna Gamble | Nurse Practitioner | 3541 Balboa Bch, Abilene, TX 79606-5659 | 2019-12-21 |
1386280477 | Jayden Shi Yates | Nurse Practitioner | 189 Quaker Rd, Abilene, TX 79602-4347 | 2019-11-23 |
1275184939 | Rachel Phillips | Nurse Practitioner | 1924 Pine St Ste 501, Abilene, TX 79601-2452 | 2019-09-24 |
Find all providers in ABILENE |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.