Individual provider · Type 1 NPI
Keith Allen Wichinski, MSN, PMC, FNP-C, RN
Family Nurse Practitioner · San Antonio, TX
NPI number
1306046644
Active
Practice location
311 W Laurel
San Antonio, TX 78212-4334
Fax (844) 457-8525
Other practice locations
- 12107 Orsinger Ln, San Antonio, TX 78230-1413 · (210) 995-3681
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 612139 (TX) |
Family Nurse Practitioner: Definition to come...
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About NPI 1306046644
Keith Allen Wichinski, MSN, PMC, FNP-C, RN's National Provider Identifier is 1306046644, issued on Jul 24, 2007. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in San Antonio, TX. The record was last updated on Jul 21, 2022.