Individual
SALLY DYAN REESE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
630 W 34TH ST STE 301, AUSTIN, TX 78705-1217
(512) 212-4670
(512) 233-5830
Mailing address
902 CRYSTAL FALLS PKWY, LEANDER, TX 78641-3646
(512) 259-2222
(512) 259-2290
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
AP119703
TX
364SP0808X
Psychiatric/Mental Health Clinical Nurse Specialist
Primary
AP13118
TX
Other
Enumeration date
01/05/2011
Last updated
01/12/2022
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