Provider Demographics
NPI:1841979184
Name:KONAKANCHI, VASANTHI (APRN-CNP)
Entity type:Individual
Prefix:
First Name:VASANTHI
Middle Name:
Last Name:KONAKANCHI
Suffix:
Gender:F
Credentials:APRN-CNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:131 BELLA VIS
Mailing Address - Street 2:
Mailing Address - City:SHENANDOAH
Mailing Address - State:TX
Mailing Address - Zip Code:77381-5013
Mailing Address - Country:US
Mailing Address - Phone:832-326-0102
Mailing Address - Fax:
Practice Address - Street 1:4300 PUNJAB WAY STE 160
Practice Address - Street 2:
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75033-0382
Practice Address - Country:US
Practice Address - Phone:469-649-9968
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-07-13
Last Update Date:2025-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1138919363LF0000X
TX807091163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse