Individual
WREN A. DEAVERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, CPNP
Contact information
Practice address
2400 CEDAR BEND DR, AUSTIN, TX 78758-5378
(512) 901-4031
(512) 901-3937
Mailing address
2400 CEDAR BEND DR, AUSTIN, TX 78758-5378
(512) 901-4031
(512) 901-3937
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
666351
TX
Other
Enumeration date
05/12/2006
Last updated
10/19/2015
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