MARY KATHERINE WANSTROM

AUSTIN, TX
NPI1417068370
Former NameMARY KATHERINE GREWE
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: TX  565264)
Enumeration Date2006-08-31
Last Update Date2018-10-02
Business Address
MARY KATHERINE WANSTROM FNP
801 W. 34TH STREET, SUITE 102
AUSTIN, TX 78705
Phone number: 512-371-9260
Mailing Address
MARY KATHERINE WANSTROM FNP
1201 W 49TH ST
AUSTIN, TX 78756-3102
Phone number: 512-374-0203