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Individual

AYA AKID

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSN, APRN, AG-CNS

Contact information

Practice address
1600 MAIZE BEND DR, AUSTIN, TX 78727-3447
(512) 964-6017
Mailing address
1600 MAIZE BEND DR, AUSTIN, TX 78727-3447

Taxonomy

Speciality
Code
Description
License number
State
163WR0400X
Rehabilitation Registered Nurse
1043014
TX
364SA2200X
Adult Health Clinical Nurse Specialist
1043014
TX
364SG0600X
Gerontology Clinical Nurse Specialist
Primary
1043014
TX

Other

Enumeration date
07/19/2023
Last updated
07/19/2023
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