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Individual

STEPHANIE LAN DANG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
ACNS-BC, PMHNP-BC

Contact information

Practice address
1013 W 9TH ST, AUSTIN, TX 78703-4923
(512) 937-3575
Mailing address
7337 MENCHACA RD UNIT 14, AUSTIN, TX 78745-5336
(210) 367-9953

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP122750
TX
364SA2200X
Adult Health Clinical Nurse Specialist
791452
TX

Other

Enumeration date
11/09/2012
Last updated
05/14/2020
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