Individual
MRS. MARY JOANNE AVENA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
425 UNIVERSITY BLVD, ROUND ROCK, TX 78665-1047
(201) 519-0241
(512) 509-0285
Mailing address
PO BOX 844658, DALLAS, TX 75284-4658
(254) 724-2111
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1066066
TX
Other
Enumeration date
02/14/2022
Last updated
08/22/2022
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