Healthcare Provider Details
I. General information
NPI: 1255841706
Provider Name (Legal Business Name): EMILY CUYLER NP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 10/10/2017
Last Update Date: 04/11/2023
Certification Date: 04/11/2023
Deactivation Date:
Reactivation Date:
III. Provider practice location address
12201 RENFERT WAY STE 200
AUSTIN TX
78758-5368
US
IV. Provider business mailing address
12201 RENFERT WAY STE 200
AUSTIN TX
78758-5368
US
V. Phone/Fax
- Phone: 512-425-3840
- Fax:
- Phone: 432-978-9473
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 363LF0000X |
| Taxonomy | Family Nurse Practitioner |
| License Number | AP135410 |
| License Number State | TX |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 363LP2300X |
| Taxonomy | Primary Care Nurse Practitioner |
| License Number | AP135410 |
| License Number State | TX |
| # 3 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363L00000X |
| Taxonomy | Nurse Practitioner |
| License Number | AP135410 |
| License Number State | TX |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: