Individual
NICOLE ASHLEY MORETTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2911 MEDICAL ARTS ST STE 2, AUSTIN, TX 78705-3331
(512) 391-0175
(512) 476-4078
Mailing address
2911 MEDICAL ARTS ST STE 2, AUSTIN, TX 78705-3331
(512) 391-0175
(512) 476-4078
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
R4878
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036138421
—
IL
Enumeration date
05/22/2012
Last updated
04/23/2018
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