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Individual

CHARITY A ESPENLAUB

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APN

Contact information

Practice address
7000 N MO PAC EXPY STE 420, AUSTIN, TX 78731-3055
(512) 482-0045
(512) 476-9892
Mailing address
7000 N MO PAC EXPY STE 420, AUSTIN, TX 78731-3055
(512) 482-0045
(512) 476-9892

Taxonomy

Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
785613
TX
363LG0600X
Gerontology Nurse Practitioner
Primary
785613
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3707531-02
TX
Enumeration date
10/21/2016
Last updated
10/14/2020
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