Individual
STEPHANIE POONAWALA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
3901 SPICEWOOD SPRINGS RD STE 201, SUITE 102, AUSTIN, TX 78759-8723
(512) 954-1827
Mailing address
3901 SPICEWOOD SPRINGS RD STE 201, SUITE 102, AUSTIN, TX 78759-8723
(512) 954-1827
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
3012625
KY
363LG0600X
Gerontology Nurse Practitioner
AP126047
TX
Other
Enumeration date
08/27/2014
Last updated
03/26/2024
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