Individual
GWEN ELIZABETH COLLMANN
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
RN, MSN, CPNP
Contact information
Practice address
12174 NORTH MOPAC, SUITE A, AUSTIN, TX 78758
(512) 833-7334
(512) 833-7333
Mailing address
11801 MIRA MESA DR, AUSTIN, TX 78732-2135
(512) 266-8747
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
629383
TX
Other
Enumeration date
02/27/2006
Last updated
07/08/2007
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