Healthcare Provider Details

I. General information

NPI: 1104513084
Provider Name (Legal Business Name): HANNAH MUSE DNP, APRN-CNP, FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/20/2023
Last Update Date: 04/20/2023
Certification Date: 04/20/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4316 JAMES CASEY ST STE C
AUSTIN TX
78745-1157
US

IV. Provider business mailing address

8706 ROLLING ACRES TRL
FAIR OAKS RANCH TX
78015-4015
US

V. Phone/Fax

Practice location:
  • Phone: 512-381-0170
  • Fax:
Mailing address:
  • Phone: 210-267-7576
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number1113062
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: