Provider Demographics
NPI:1023358454
Name:N.P. UNITED ASSOCIATES INC.
Entity Type:Organization
Organization Name:N.P. UNITED ASSOCIATES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:KEITH
Authorized Official - Middle Name:ALLEN
Authorized Official - Last Name:WICHINSKI
Authorized Official - Suffix:
Authorized Official - Credentials:MSN, FNP-C, RN
Authorized Official - Phone:210-995-3681
Mailing Address - Street 1:8030 BROADWAY ST APT 102E
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78209-2694
Mailing Address - Country:US
Mailing Address - Phone:210-995-3681
Mailing Address - Fax:210-693-1163
Practice Address - Street 1:12107 ORSINGER LN
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78230-1413
Practice Address - Country:US
Practice Address - Phone:210-995-3681
Practice Address - Fax:210-693-1163
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-02-21
Last Update Date:2013-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX612139363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty