OrganizationActive
La Ideal Wound Inc
NPI 1720964349 · Nurse Practitioner · Monroe, TX
Provider details
- NPI number
- 1720964349
- Entity type
- Organization
- Primary specialty
- Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Traci Piersanti, Operations Manager(877) 969-6863
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
- Family Medicine Physician207Q00000X
Allopathic & Osteopathic Physicians
Practice location
201 Victory Blvd
Suite 287
Monroe, TX 71203
Phone: (877) 969-6863
Approximate (ZIP-level) locationGet directions
Mailing address
1810 8th Ave Ste A101
Fort Worth, TX 76110-1352
Registry dates
- Enumerated
- 2025-08-12
- Last updated
- 2025-08-12
- Certified
- 2025-08-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.