Provider Demographics
NPI:1962383471
Name:CAMPBELL, WENDY V (RN PROVIDER)
Entity type:Individual
Prefix:MRS
First Name:WENDY
Middle Name:V
Last Name:CAMPBELL
Suffix:
Gender:F
Credentials:RN PROVIDER
Other - Prefix:MRS
Other - First Name:WENDY
Other - Middle Name:V
Other - Last Name:CAMPBELL
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:RN PROVIDER
Mailing Address - Street 1:16347 COUNTY ROAD
Mailing Address - Street 2:
Mailing Address - City:LA COSTE
Mailing Address - State:TX
Mailing Address - Zip Code:78039
Mailing Address - Country:US
Mailing Address - Phone:830-370-3422
Mailing Address - Fax:
Practice Address - Street 1:8554 HUEBNER ROAD
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78240
Practice Address - Country:US
Practice Address - Phone:210-949-3850
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-09-10
Last Update Date:2025-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX816400163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163W00000XNursing Service ProvidersRegistered NurseGroup - Multi-Specialty