Individual
GINNI ANNE WENTWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
919 E 32ND ST, AUSTIN, TX 78705-2703
(512) 544-7111
Mailing address
3809 SPICEWOOD SPRINGS RD APT 114, AUSTIN, TX 78759-8951
(512) 293-6548
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
1157740
TX
Other
Enumeration date
02/21/2024
Last updated
04/18/2024
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