Individual
ALEXIS RENEE WAHLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN-CNP
Contact information
Practice address
4499 MEDICAL DR STE 166, SAN ANTONIO, TX 78229-3771
(210) 575-8485
Mailing address
7827 CASTON PARK DR, SAN ANTONIO, TX 78249-4124
(361) 944-4189
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1017381
TX
363LF0000X
Family Nurse Practitioner
1017381
TX
Other
Enumeration date
04/01/2021
Last updated
04/22/2021
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