Individual provider · Type 1 NPI

Wanda Jean Tamayo, NP

Pediatric Nurse Practitioner · San Antonio, TX

NPI number 1699100412 Active

Practice location

11398 Bandera Rd Ste 201
San Antonio, TX 78250-6827

Fax (210) 314-5044

Mailing address

1719 Blue Crest Ln
San Antonio, TX 78232-5103

Specialties and licenses

TaxonomyCodeLicense
Critical Care Pediatric Nurse Practitioner 363LP0222X683610 (TX)
Pediatric Nurse Practitioner Primary 363LP0200XAP124391 (TX)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1699100412

Wanda Jean Tamayo, NP's National Provider Identifier is 1699100412, issued on Sep 11, 2013. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in San Antonio, TX. The record was last updated on Jul 21, 2022.