Individual
KIANI DZIUDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1201 W 38TH ST, AUSTIN, TX 78705-1006
(970) 433-1901
Mailing address
1201 W 38TH ST, AUSTIN, TX 78705-1006
(512) 524-1000
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
940335
TX
363LP2300X
Primary Care Nurse Practitioner
Primary
1153899
TX
Other
Enumeration date
02/01/2024
Last updated
12/14/2024
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