Healthcare Provider Details

I. General information

NPI: 1073854733
Provider Name (Legal Business Name): WENDY DENNISE SHORT FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: WENDY DENNISE CSAKI FNP-C

II. Dates (important events)

Enumeration Date: 03/06/2013
Last Update Date: 05/07/2024
Certification Date: 05/07/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1401 MEDICAL PKWY STE 101
CEDAR PARK TX
78613-5012
US

IV. Provider business mailing address

8240 N MOPAC EXPY STE 100
AUSTIN TX
78759-8869
US

V. Phone/Fax

Practice location:
  • Phone: 512-248-2200
  • Fax: 512-260-1991
Mailing address:
  • Phone: 512-687-1970
  • Fax: 512-407-9010

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAP122167
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: