Individual
ASHLEY WIETZ NOTTEBART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
5424 W US HWY 290 SERVICE RD, AUSTIN, TX 78735
(512) 430-1130
(512) 677-6806
Mailing address
5424 W US 290 HWY SERVICE RD, AUSTIN, TX 78735
(512) 430-1130
(512) 677-6806
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
1088487
TX
Other
Enumeration date
08/11/2022
Last updated
08/11/2022
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