Individual
BREANNA LIEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
701 S CAPITAL OF TEXAS HWY, STE 900, WEST LAKE HILLS, TX 78746-5243
(512) 324-6970
Mailing address
4616 W HOWARD LN, AUSTIN, TX 78728-6300
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP128431
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
358503604
—
TX
Enumeration date
07/07/2015
Last updated
03/24/2017
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