Provider Demographics
NPI:1336564293
Name:ROBERTS, WENDYANN (FNP)
Entity Type:Individual
Prefix:
First Name:WENDYANN
Middle Name:
Last Name:ROBERTS
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8498 S SAM HOUSTON PKWY E
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77075-4891
Mailing Address - Country:US
Mailing Address - Phone:832-936-6919
Mailing Address - Fax:
Practice Address - Street 1:8498 S SAM HOUSTON PKWY E
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77075-4891
Practice Address - Country:US
Practice Address - Phone:832-936-5919
Practice Address - Fax:888-640-5278
Is Sole Proprietor?:No
Enumeration Date:2014-02-28
Last Update Date:2022-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX724644363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily