Individual
REENA JOSEPH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGPNP
Contact information
Practice address
4063 CARGILL DR, ROUND ROCK, TX 78681-5523
(630) 618-1031
Mailing address
4063 CARGILL DR, ROUND ROCK, TX 78681-5523
(630) 618-1031
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
AP129043
TX
363LG0600X
Gerontology Nurse Practitioner
AP129043
TX
Other
Enumeration date
10/06/2015
Last updated
11/22/2016
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