Provider Demographics
NPI:1790194223
Name:NDIONU FRAZER, WENDY (APRN- CNM)
Entity type:Individual
Prefix:
First Name:WENDY
Middle Name:
Last Name:NDIONU FRAZER
Suffix:
Gender:F
Credentials:APRN- CNM
Other - Prefix:
Other - First Name:CHINWENDU
Other - Middle Name:
Other - Last Name:NDIONU
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPN
Mailing Address - Street 1:13526 TULIPWOOD NOOK
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78253-1137
Mailing Address - Country:US
Mailing Address - Phone:917-790-3875
Mailing Address - Fax:
Practice Address - Street 1:7430 BARLITE BLVD
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78224-1365
Practice Address - Country:US
Practice Address - Phone:210-922-2727
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-08-08
Last Update Date:2024-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1110785176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes176B00000XOther Service ProvidersMidwifeGroup - Single Specialty