Provider Demographics
NPI:1164749073
Name:CRABBE, WENDY WINTERMUTE (ANP-BC, AOCN)
Entity Type:Individual
Prefix:
First Name:WENDY
Middle Name:WINTERMUTE
Last Name:CRABBE
Suffix:
Gender:F
Credentials:ANP-BC, AOCN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:7703 FLOYD CURL DR
Mailing Address - Street 2:MC7977
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78229-3901
Mailing Address - Country:US
Mailing Address - Phone:210-450-9000
Mailing Address - Fax:210-450-4903
Practice Address - Street 1:7979 WURZBACH RD
Practice Address - Street 2:SUITE Z300
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78229-4427
Practice Address - Country:US
Practice Address - Phone:210-450-3003
Practice Address - Fax:210-450-3041
Is Sole Proprietor?:No
Enumeration Date:2010-05-01
Last Update Date:2011-11-01
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TX621734363LA2200X, 364SX0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
No364SX0200XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistOncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX219331002OtherCSHCN
TX219331001Medicaid
TX219331001Medicaid