Individual
ANGELA HENNINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, NP-C
Contact information
Practice address
1108 LAVACA ST STE 110-320, AUSTIN, TX 78701-2172
(512) 477-4088
Mailing address
1108 LAVACA ST STE 110-320, AUSTIN, TX 78701-2172
(512) 477-4088
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP142261
TX
Other
Enumeration date
07/16/2019
Last updated
07/16/2019
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