Provider Demographics
NPI:1669842613
Name:WASILEWSKI, KAMI (NP)
Entity Type:Individual
Prefix:
First Name:KAMI
Middle Name:
Last Name:WASILEWSKI
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2811 FOSTER HILL DR
Mailing Address - Street 2:
Mailing Address - City:KINGWOOD
Mailing Address - State:TX
Mailing Address - Zip Code:77345-2548
Mailing Address - Country:US
Mailing Address - Phone:404-803-1680
Mailing Address - Fax:
Practice Address - Street 1:2807 KINGS CROSSING DR STE 2323
Practice Address - Street 2:
Practice Address - City:KINGWOOD
Practice Address - State:TX
Practice Address - Zip Code:77345-5528
Practice Address - Country:US
Practice Address - Phone:281-706-9232
Practice Address - Fax:844-899-4223
Is Sole Proprietor?:Yes
Enumeration Date:2015-10-03
Last Update Date:2024-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP140914363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily