Individual
HEIDI M COHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PNP
Contact information
Practice address
7112 ED BLUESTEIN BLVD STE 100, AUSTIN, TX 78723-2913
(512) 744-6000
(512) 583-5462
Mailing address
7112 ED BLUESTEIN BLVD STE 100, AUSTIN, TX 78723-2913
(512) 744-6000
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
688656
TX
363LP0200X
Pediatric Nurse Practitioner
Primary
AP122499
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
309377501
—
TX
Enumeration date
10/17/2012
Last updated
02/19/2020
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