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Individual

NICOLE MARIE ANDERSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
AGPCNP-BC

Contact information

Practice address
1823 E 7TH ST, AUSTIN, TX 78702-2713
(512) 795-4142
(512) 623-7536
Mailing address
1823 E 7TH ST, AUSTIN, TX 78702-2713
(512) 795-4142
(512) 623-7536

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1070729
TX
363L00000X
Nurse Practitioner
95014738
CA
363L00000X
Nurse Practitioner
APN.0994709-NP
CO

Other

Enumeration date
06/17/2019
Last updated
01/06/2023
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