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NPI Code Detail

MEDICARE: SUSAN A. WNUK FNP

MEDICARE: SUSAN A. WNUK FNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse PractitionerAP119468TX
2363L00000XNurse PractitionerAP119468TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1992751804
Entity Type Code : Individual
Provider Name (Legal Business Name) : SUSAN A. WNUK FNP
Provider Business Mailing Address
First Line : 1323 CROWN BRK
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78260-2485
Country : US
Telephone Number : 919-454-4522
Fax Number :
Provider Business Practice Location Address
First Line : 4450 MEDICAL DR FL 1
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78229-3710
Country : US
Telephone Number : 210-575-3817
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/25/2006
Last Update Date : 06/02/2023

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Directions to “ SUSAN A. WNUK FNP” Practice Location

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