Individual
TOMOKO HATTORI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNS
Contact information
Practice address
12701 RR 620 N STE 101, AUSTIN, TX 78750-1141
(512) 593-6022
(512) 593-9130
Mailing address
12701 RR 620 N STE 101, AUSTIN, TX 78750-1141
(512) 593-6022
(512) 593-9130
Taxonomy
Speciality
Code
Description
License number
State
364SG0600X
Gerontology Clinical Nurse Specialist
Primary
AP139857
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
903504
RN
TX
01
—
AP139857
APRN
TX
Enumeration date
05/02/2019
Last updated
05/02/2019
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