Individual
KENDALL LAURA SHARP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, CPNP-AC/PC
Contact information
Practice address
5339 N IH 35 STE 100, AUSTIN, TX 78723-2558
(512) 628-1898
Mailing address
1301 BARBARA JORDAN BLVD STE 200, AUSTIN, TX 78723-3078
(512) 324-0197
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
588212
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
208868401
—
TX
01
—
588212
TEXAS BOARD OF NURSE EXAMINERS
TX
Enumeration date
11/18/2009
Last updated
11/02/2020
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