Individual
PRISCILLA QUACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP-AC
Contact information
Practice address
4900 MUELLER BLVD, AUSTIN, TX 78723-3051
(512) 324-0000
Mailing address
2480 HILLSIDE AVE, DECATUR, GA 30032-4125
(214) 228-7717
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
RN275327
GA
363LP0222X
Critical Care Pediatric Nurse Practitioner
Primary
1081149
TX
Other
Enumeration date
05/04/2022
Last updated
06/01/2022
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