Individual
NIKHITA ROSE SHIWACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
4604 WINDY BROOK DR UNIT A, AUSTIN, TX 78723-5370
(972) 639-6335
Mailing address
4604 WINDY BROOK DR UNIT A, AUSTIN, TX 78723-5370
(972) 639-6335
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
961068
TX
363L00000X
Nurse Practitioner
Primary
1151584
TX
Other
Enumeration date
02/20/2019
Last updated
03/06/2024
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