Individual
ALENNA TAMAYO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP-AC
Contact information
Practice address
4900 MUELLER BLVD, AUSTIN, TX 78723-3079
(512) 324-0165
Mailing address
1601 RIO GRANDE ST, SUITE 340, AUSTIN, TX 78701-1137
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
756153
TX
Other
Enumeration date
10/17/2012
Last updated
10/17/2012
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