Individual
REGINA VERA EVIDENTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2806 REAL ST, AUSTIN, TX 78722-1715
(512) 474-1411
Mailing address
1111 E CESAR CHAVEZ ST, AUSTIN, TX 78702-4209
(512) 978-9309
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
AP139153
TX
Other
Enumeration date
08/16/2017
Last updated
10/05/2025
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