Individual
SUSAN A. WNUK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
4450 MEDICAL DR FL 1, SAN ANTONIO, TX 78229-3710
(210) 575-3817
Mailing address
1323 CROWN BRK, SAN ANTONIO, TX 78260-2485
(919) 454-4522
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP119468
TX
363LF0000X
Family Nurse Practitioner
AP119468
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
219609902
—
TX
Enumeration date
05/25/2006
Last updated
06/02/2023
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