Katharine Johanna Wiswall
PA-C | Nurse Practitioner - Pediatrics
903 W Martin St # Ms 49-2, San Antonio
Texas, 78207-0903
201-358-5437
May or may not accept Medicare Nurse Practitioner in San Antonio, Texas.Katharine Johanna Wiswall is a San Antonio, Texas based nurse practitioner who is specialized as Pediatrics NP. Active license number of Katharine Johanna Wiswall is PA15665 for Pediatrics NP in Texas. Her current practice location is 903 W Martin St # Ms 49-2, San Antonio. Patients can reach her at 201-358-5437 or can fax her at 210-358-5890. Katharine Johanna Wiswall is PA-C with specialization in Pediatrics NP and her NPI number (Unique professional ID assigned by NPPES) is 1376282236.
Katharine Johanna Wiswall specializes in caring for newborns, infants, toddlers, adolescents and young adults. She perform pediatric health care maintenance, including well child exams, developmental screenings and in-depth physical assessments, such as vision, hearing and dental. Pediatrics Nurse Practitioner (PNP) focus on well-child care and the prevention or management of common pediatric acute illnesses and chronic conditions.
Complete Profile:
Katharine Johanna Wiswall speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Katharine Johanna Wiswall |
| Specialization: | Nurse Practitioner - Pediatrics (PNP) |
| Gender: | Female |
| Credentials: | PA-C |
| Practice Address: | 903 W Martin St # Ms 49-2, San Antonio, Texas, 78207-0903 |
| Phone: | 201-358-5437 |
| Fax: | 210-358-5890 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| NPI Number: | 1376282236 |
| NPI Enumeration Date: | 31 May, 2022 |
| NPI Last Update On: | 27 Jan, 2026 |
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Katharine Johanna Wiswall are as mentioned below.
| License Number | Specialization | State | Status | |
| PA15665 | Pediatrics NP | Texas | Primary | |
| PA15665 | Physician Assistant | Texas | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers associated with Katharine Johanna Wiswall such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 1191480 | Other | | NCCPA |
| PA15665 | Other | Texas | TEXAS MEDICAL BOARD |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Katharine Johanna Wiswall 903 W Martin St, San Antonio, Texas |
| Zip: | 78207-0903 |
| Phone Number: | 210-358-3400 |
Patients can reach Katharine Johanna Wiswall at
903 W Martin St # Ms 49-2, San Antonio, Texas or can
call to book an appointment on 201-358-5437.
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 February, 2026.