Individual
KAVYA YEDATORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, APRN, CPNP-PC
Contact information
Practice address
4900 MUELLER BLVD, AUSTIN, TX 78723-3051
(512) 324-0000
Mailing address
9806 TREE BEND CV, AUSTIN, TX 78750-3837
(512) 576-2891
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
1003301
TX
Other
Enumeration date
08/05/2022
Last updated
08/05/2022
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