Individual
VIVIAN SULE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2806 REAL ST, AUSTIN, TX 78722-1715
(512) 978-8130
Mailing address
1111 E CESAR CHAVEZ ST, AUSTIN, TX 78702-4209
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
AP141400
TX
Other
Enumeration date
07/08/2019
Last updated
10/05/2025
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