Individual
TRIANNA ILISE CORDOVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
1717 SCOTTSDALE DR STE 120, CEDAR PARK, TX 78641-4340
(512) 489-7997
Mailing address
8611 BRYER CREEK TRL, AUSTIN, TX 78717-4859
(512) 698-2179
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP142858
TX
Other
Enumeration date
05/16/2020
Last updated
05/16/2020
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