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Individual

COURTNEY LEE PARR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ACNP-BC, ACNS-BC

Contact information

Practice address
2410 ROUND ROCK AVENUE, SUITE 170, ROUND ROCK, TX 78681-4002
(512) 827-0927
(512) 827-0928
Mailing address
2410 ROUND ROCK AVENUE, SUITE 170, ROUND ROCK, TX 78681
(512) 827-0927
(512) 827-0928

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
663590
TX
363LA2100X
Acute Care Nurse Practitioner
Primary
663590
TX
364SA2200X
Adult Health Clinical Nurse Specialist
663590
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1638363-01
TX
Enumeration date
08/15/2005
Last updated
01/11/2022
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