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Individual

MRS. WENDY VANDYKE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
GNP-BC

Contact information

Practice address
2455 NE LOOP 410 STE 100, SAN ANTONIO, TX 78217-5650
(210) 599-6000
(210) 657-5586
Mailing address
2455 NE LOOP 410 STE 100, SAN ANTONIO, TX 78217-5650
(210) 599-6000
(210) 657-5586

Taxonomy

Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
667620
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
AP119635
LICENSE
TX
Enumeration date
01/24/2012
Last updated
02/19/2018
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