Individual
AMY POWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1301 BARBARA JORDAN BLVD STE 400, AUSTIN, TX 78723-3078
(512) 708-1234
(512) 708-4567
Mailing address
11505 SWEETWATER TRL, AUSTIN, TX 78750-1954
(281) 236-4502
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
872535
TX
Other
Enumeration date
01/13/2022
Last updated
01/13/2022
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