Provider Demographics
NPI:1073173746
Name:WENZEL, MEGAN DLYNN (NP-C)
Entity Type:Individual
Prefix:MRS
First Name:MEGAN
Middle Name:DLYNN
Last Name:WENZEL
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1414 E WALNUT ST
Mailing Address - Street 2:
Mailing Address - City:SEGUIN
Mailing Address - State:TX
Mailing Address - Zip Code:78155-5175
Mailing Address - Country:US
Mailing Address - Phone:830-379-7901
Mailing Address - Fax:
Practice Address - Street 1:1414 E WALNUT ST
Practice Address - Street 2:
Practice Address - City:SEGUIN
Practice Address - State:TX
Practice Address - Zip Code:78155-5175
Practice Address - Country:US
Practice Address - Phone:830-379-7901
Practice Address - Fax:830-401-0737
Is Sole Proprietor?:No
Enumeration Date:2019-06-15
Last Update Date:2019-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP141793363LF0000X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily