Provider Demographics
NPI:1427675024
Name:ORANGE, WANDA NASHAY (FNP)
Entity type:Individual
Prefix:MRS
First Name:WANDA
Middle Name:NASHAY
Last Name:ORANGE
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1500 INTERNATIONAL PKWY STE 300
Mailing Address - Street 2:
Mailing Address - City:RICHARDSON
Mailing Address - State:TX
Mailing Address - Zip Code:75081-2339
Mailing Address - Country:US
Mailing Address - Phone:214-484-1524
Mailing Address - Fax:214-484-1626
Practice Address - Street 1:1500 INTERNATIONAL PKWY STE 300
Practice Address - Street 2:
Practice Address - City:RICHARDSON
Practice Address - State:TX
Practice Address - Zip Code:75081-2339
Practice Address - Country:US
Practice Address - Phone:214-484-1524
Practice Address - Fax:214-484-1626
Is Sole Proprietor?:No
Enumeration Date:2020-06-30
Last Update Date:2022-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX734898163W00000X
TXAP145754363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXAP145754Medicaid