| Kathleen L Wurzlow, WHCNP | |
|
400 Harborside Dr Ste 116, Galveston, TX 77555-0001 | |
| (409) 772-2222 | |
| Not Available |
| Full Name | Kathleen L Wurzlow |
|---|---|
| Gender | Female |
| Speciality | Advanced Practice Midwife |
| Location | 400 Harborside Dr Ste 116, Galveston, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154483329 | NPI | - | NPPES |
| 118279202 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LW0102X | Nurse Practitioner - Women's Health | 541951 (Texas) | Secondary |
| 367A00000X | Advanced Practice Midwife | AP109649 (Texas) | Primary |
| Entity Name | Utmb Faculty Group Practice |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942241146 PECOS PAC ID: 3375456734 Enrollment ID: O20031112000438 |
| Mailing Address | Practice Location Address |
|---|---|
| Kathleen L Wurzlow, WHCNP 301 University Blvd, Galveston, TX 77555-5302 Ph: (409) 772-2222 | Kathleen L Wurzlow, WHCNP 400 Harborside Dr Ste 116, Galveston, TX 77555-0001 Ph: (409) 772-2222 |
Carolyn Nelson-becker, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 301 University Blvd, Galveston, TX 77555 Phone: 409-772-2222 | |
Katina M Poe, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 301 University Blvd, Galveston, TX 77555 Phone: 409-772-2222 | |
Susan L. Nilsen, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 301 University Blvd, Galveston, TX 77555 Phone: 409-772-5677 | |
Kathleen Georgette Stauffer, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 301 University Blvd, Galveston, TX 77555 Phone: 409-772-2222 Fax: 254-286-7327 | |
Patricia L Gomez, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 301 University Blvd, Galveston, TX 77555 Phone: 409-772-2222 | |
Susan D Shriver, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 301 University Blvd, Galveston, TX 77555 Phone: 409-747-0890 Fax: 409-772-0885 | |
Agatha J Billups, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 301 University Blvd, Galveston, TX 77555 Phone: 409-772-2222 |