Individual
WENDI E KONOMOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
GNP
Contact information
Practice address
774 LANDA ST, NEW BRAUNFELS, TX 78130-6114
(830) 625-0305
(830) 625-0298
Mailing address
774 LANDA ST, NEW BRAUNFELS, TX 78130-6114
(210) 614-8612
(210) 615-5596
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
611930
TX
363LG0600X
Gerontology Nurse Practitioner
AP115952
TX
363LG0600X
Gerontology Nurse Practitioner
Primary
R24960
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1G9356
MEDICARE
TX
01
—
P02569432
MEDICARE RAILROAD
TX
Enumeration date
07/26/2007
Last updated
01/11/2021
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