Individual
ANGELINA DETMERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
10815 RANCH RD 2222, BLDG 3C, SUITE 101, AUSTIN, TX 78730
(512) 643-6430
Mailing address
2110 RANCH ROAD 620 S UNIT 341402, LAKEWAY, TX 78734-0258
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1179602
TX
Other
Enumeration date
11/06/2024
Last updated
11/09/2024
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