Individual
KELLY COLEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, APRN, AGCNS-BC
Contact information
Practice address
3816 S 1ST ST, AUSTIN, TX 78704-7048
(512) 443-1311
(512) 406-6266
Mailing address
6210 E HWY 290, AUSTIN, TX 78723-1142
(512) 483-9596
(512) 406-6216
Taxonomy
Speciality
Code
Description
License number
State
364SG0600X
Gerontology Clinical Nurse Specialist
Primary
AP129019
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1174980437
—
TX
01
—
AP129019
TEXAS APRN LICENSE NUMBER
TX
Enumeration date
01/18/2016
Last updated
08/17/2023
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