Individual
AMBILI PRATHEEP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
201 SETON PKWY, ROUND ROCK, TX 78665-8000
(512) 324-4400
Mailing address
1458 HARGIS CREEK TRL, AUSTIN, TX 78717-2977
(718) 427-3614
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
1157119
TX
363LF0000X
Family Nurse Practitioner
Primary
1157119
TX
Other
Enumeration date
04/10/2024
Last updated
10/14/2024
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