Individual provider · Type 1 NPI

Matthew Allen Wisniewski, CPNP-AC

Critical Care Pediatric Nurse Practitioner · Houston, TX

NPI number 1538701115 Active

Practice location

6621 Fannin St
Houston, TX 77030-2358

Mailing address

7614 Dane Hill Dr
Spring, TX 77389-3441

Specialties and licenses

TaxonomyCodeLicense
Critical Care Pediatric Nurse Practitioner Primary 363LP0222XAP143444 (TX)

Critical Care Pediatric Nurse Practitioner: Definition to come...

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About NPI 1538701115

Matthew Allen Wisniewski, CPNP-AC's National Provider Identifier is 1538701115, issued on Oct 15, 2019. The primary taxonomy on file is Critical Care Pediatric Nurse Practitioner (363LP0222X), and the practice location is in Houston, TX. The record was last updated on Oct 15, 2019.