Provider Demographics
NPI:1306311311
Name:LOWRY, WENDY W (APRN)
Entity type:Individual
Prefix:
First Name:WENDY
Middle Name:W
Last Name:LOWRY
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Mailing Address - Street 1:10311 KARIBA CV
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78726-1396
Mailing Address - Country:US
Mailing Address - Phone:512-663-3646
Mailing Address - Fax:
Practice Address - Street 1:11673 JOLLYVILLE ROAD
Practice Address - Street 2:BLDG B #202
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78759-4200
Practice Address - Country:US
Practice Address - Phone:512-342-7979
Practice Address - Fax:512-637-2596
Is Sole Proprietor?:No
Enumeration Date:2018-10-05
Last Update Date:2023-06-07
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXAP1385632084P0800X, 363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry