Sue Ellen Gondran is a Family in Austin, Texas. Sue Ellen Gondran practices all healthcare services and medical treatments related to Family. The NPI Number for Sue Ellen Gondran is 1366418998. The last update date is 2016-10-14.
Sue Ellen Gondran's current location address is 6406 N Ih 35, Austin, Texas. You can contact this provider via phone number 5124654800 and fax number 5124200118. The mailing address for Sue Ellen Gondran is 6406 N Ih 35, Austin, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Sue Ellen Gondran |
|---|---|
| Address | 6406 N Ih 35, Austin, Texas |
| Phone Number | 5124654800 |
| Fax Number | 5124200118 |
| Sole Proprietor | N |
| Credentials | FNP |
NPI Number Detail
| NPI Number | 1366418998 |
|---|---|
| Provider Enumeration Date | 2006-02-24 |
| Last Updated Date | 2016-10-14 |
Provider Mailing Address Detail
| Address | 6406 N Ih 35 |
|---|---|
| City | Austin |
| State | Texas (TX) |
| Post Code | 787524352 |
| Phone Number | 5124654800 |
| Fax Number | 5124200118 |
Provider's Primary Taxonomy Detail
| Speciality | Family |
|---|---|
| Taxonomy | 363Lf0000X |
| Licence No | AP106545 |
|
Definition: An advanced practice registered nurse expert in primary healthcare for patients of all ages. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| TXB153125 | TX | WELLMED PTAN | |
| 92886304 | TX | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Sue Ellen Gondran?
The Sue Ellen Gondran has been issued the NPI (National Provider Identifier) 1366418998 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you provide the complete physical address where Sue Ellen Gondran is located?
The Sue Ellen Gondran is situated at the following address: 6406 N Ih 35, Austin, TX, 787524352.
What is the Sue Ellen Gondran's specialty and taxonomy code?
The Sue Ellen Gondran's specialty is Family, and the corresponding taxonomy code is 363Lf0000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1366418998 to Sue Ellen Gondran?
The Centers for Medicare & Medicaid Services assigned the 1366418998 to Sue Ellen Gondran on 2006-02-24.
As of what date were the details pertaining to Sue Ellen Gondran last refreshed?
The information related to the Sue Ellen Gondran, including its address, specialty, and other relevant details, was last updated on 2016-10-14.
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