Individual
MARY BREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1301 BARBARA JORDAN BLVD STE 301, AUSTIN, TX 78723-3078
(512) 324-0919
Mailing address
1301 BARBARA JORDAN BLVD STE 301, AUSTIN, TX 78723-3078
Taxonomy
Speciality
Code
Description
License number
State
364SP0200X
Pediatric Clinical Nurse Specialist
Primary
239573
TX
Other
Enumeration date
01/15/2019
Last updated
01/15/2019
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