Individual
HOLLY R KUBANEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, APRN, PPCNP-BC
Contact information
Practice address
1301 BARBARA JORDAN BLVD, #401, AUSTIN, TX 78723-3078
(512) 628-1900
(512) 628-1901
Mailing address
1301 BARBARA JORDAN BLVD, SUITE #200, AUSTIN, TX 78723-3078
(512) 628-1932
(512) 628-1801
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
809189
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
301347601
—
TX
01
—
809189
TX APN
TX
Enumeration date
04/19/2006
Last updated
05/27/2020
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