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Individual

CLAIRE WHITEHEAD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN, FNP-C, PMHNP-BC

Contact information

Practice address
1165 AIRPORT BLVD, AUSTIN, TX 78702-3152
(512) 804-3465
(512) 692-3903
Mailing address
14825 BEAR CREEK PASS, AUSTIN, TX 78737-8937
(512) 739-8805

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
AP116980
TX
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP116980
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
208665402
TX
05
208665403
TX
05
208665404
TX
01
567904YMGJ
MEDICARE
TX
01
831N53
BCBS
TX
Enumeration date
09/30/2008
Last updated
03/09/2022
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