Individual
MRS. ANNA NICOLE WENDEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
1106 COLLEGE ST STE C, BASTROP, TX 78602-3948
(512) 244-4272
(512) 244-2895
Mailing address
101 W LOUIS HENNA BLVD STE 300, AUSTIN, TX 78728-1203
(512) 244-4272
(512) 244-2895
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP142943
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2J6706
TEXAS MEDICARE
TX
01
—
2J6711
TEXAS MEDICARE
TX
Enumeration date
07/26/2019
Last updated
01/03/2024
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