Individual
MS. CAROL ANDRUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1301 W 38TH ST, SUITE 400, AUSTIN, TX 78705
(512) 324-3440
(512) 406-6513
Mailing address
1301 W 38TH ST, SUITE 400, AUSTIN, TX 78705-1000
(512) 324-3440
(512) 406-6513
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
602750
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
371424801
—
TX
05
—
371424802
—
TX
01
—
8813MC
BCBS
TX
Enumeration date
03/05/2007
Last updated
06/20/2018
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