Individual
MARION VICTORIA EMMOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ACNP-BC
Contact information
Practice address
2400 CEDAR BEND DR, AUSTIN, TX 78758-5378
(512) 901-4031
(512) 901-3937
Mailing address
12221 N MOPAC EXPY, AUSTIN, TX 78758-2401
(512) 901-4031
(512) 901-3937
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
245946
TX
363LA2100X
Acute Care Nurse Practitioner
Primary
AP105152
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
146897709
—
TX
Enumeration date
02/06/2006
Last updated
02/10/2022
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