Individual
WENDY LYNN CONNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1214 COOLIDGE BLVD, LAFAYETTE, LA 70503-2621
(337) 289-7991
Mailing address
22414 MEADOWSWEET DR, MAGNOLIA, TX 77355-5762
(512) 632-5668
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
229387
LA
363LA2100X
Acute Care Nurse Practitioner
AP139918
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1144517467
—
TX
Enumeration date
03/05/2019
Last updated
01/27/2023
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