Individual
OLIVIA CHINENYE GACHOMO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHMP
Contact information
Practice address
3724 EXECUTIVE CENTER DR, AUSTIN, TX 78731-1646
(512) 452-2100
(855) 346-7410
Mailing address
3724 EXECUTIVE CENTER DR, AUSTIN, TX 78731-1646
(512) 452-2100
(855) 346-7410
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
AP127309
TX
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP127309
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2020130222
ANCC
TX
Enumeration date
01/24/2015
Last updated
07/08/2021
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