Individual
MARYAM ABEDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, APN
Contact information
Practice address
5015 S IH 35, AUSTIN, TX 78744-2713
(512) 445-7787
Mailing address
1430 COLLIER ST, AUSTIN, TX 78704-2911
(512) 472-4357
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP134759
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AP134759
APRN LICENSE
TX
Enumeration date
08/21/2017
Last updated
08/21/2017
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