Individual
KATHLEEN L WURZLOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
WHCNP
Contact information
Practice address
400 HARBORSIDE DR STE 116, GALVESTON, TX 77555-0001
(409) 772-2222
Mailing address
301 UNIVERSITY BLVD, GALVESTON, TX 77555-5302
(409) 772-2222
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
541951
TX
367A00000X
Advanced Practice Midwife
Primary
AP109649
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
118279202
—
TX
Enumeration date
12/14/2006
Last updated
06/12/2024
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