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Mary Katherine Wanstrom, FNP
Family Nurse Practitioner in Austin, Texas
NPI 1417068370

Mary Katherine Wanstrom is a Family Nurse Practitioner based in Austin, TX and is specialized in Family. Mary Katherine Wanstrom practices in Austin, TX and has the professional credentials of FNP. The NPI Number for Mary Katherine Wanstrom is 1417068370 and holds a License No. 565264 (Texas).

The current practice location address for Mary Katherine Wanstrom is 801 W. 34Th Street, Suite 102, Austin, TX and can be reached out via phone at 512-371-9260 and via fax at 512-371-9550.

Location: 801 W. 34Th Street, Suite 102, Austin, TX, 78756-3102
person
Provider Profile Details
NPI Number
1417068370
Provider Name
Mary Katherine Wanstrom
Credential
FNP
Provider Entity Type
Individual
Gender
Female
Address
801 W. 34Th Street, Suite 102, Austin, TX, 78756-3102
Phone Number
512-371-9260
Fax Number
512-371-9550
Provider Enumeration Date
08/31/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
8N9688 01 TX BCBS TX INDIVID NO
173322201 05 TX
9381771 01 TX PCHS INDIV NO
institution
Provider Business Practice Location Address Details
Address
801 W. 34Th Street, Suite 102
City
State
Zip
78705
Phone Number
512-371-9260
Fax Number
512-371-9550
person
Provider Business Mailing Address Details
Address
801 W. 34Th Street, Suite 102
City
State
Zip
78705
Phone Number
512-371-9260
Fax Number
512-371-9550
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
565264 (Texas)
Definition
Definition to come...
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