Individual
ANN GINIKANWA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1009 N GEORGETOWN ST, ROUND ROCK, TX 78664-3289
(512) 255-1720
Mailing address
1009 N GEORGETOWN ST, ROUND ROCK, TX 78664-3289
(512) 255-1720
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
1100168
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1100168
—
TX
Enumeration date
01/09/2023
Last updated
01/17/2023
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