Individual
AUDREY SUNSHINE ALTSTATT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1700 S LAMAR BLVD, AUSTIN, TX 78704-8962
(512) 221-3059
Mailing address
1430 COLLIER ST, AUSTIN, TX 78704-2911
(512) 472-4397
(512) 703-1394
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
811873
TX
Other
Enumeration date
09/03/2021
Last updated
09/03/2021
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