Individual provider · Type 1 NPI
Mary Katherine Wanstrom, FNP
Family Nurse Practitioner · Austin, TX
NPI number
1417068370
Active
Practice location
801 W. 34th Street, Suite 102
Austin, TX 78705
Fax (512) 371-9550
Mailing address
1201 W 49th St
Austin, TX 78756-3102
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 565264 (TX) |
Family Nurse Practitioner: Definition to come...
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About NPI 1417068370
Mary Katherine Wanstrom, FNP's National Provider Identifier is 1417068370, issued on Aug 31, 2006. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Austin, TX. The record was last updated on Oct 2, 2018.