Individual
ANVI C TA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
2501 W WILLIAM CANNON DR STE 208, AUSTIN, TX 78745-5255
(512) 649-0082
(512) 528-3596
Mailing address
7215 BLESSING AVE, AUSTIN, TX 78752-2715
(210) 410-7117
(512) 901-9781
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP126059
TX
Other
Enumeration date
07/23/2014
Last updated
05/11/2021
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