Healthcare Provider Details

I. General information

NPI: 1952840027
Provider Name (Legal Business Name): IRMA ALMENDAREZ VALDEZ APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/21/2017
Last Update Date: 02/15/2023
Certification Date: 02/15/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1301 W 38TH ST STE 700
AUSTIN TX
78705-1016
US

IV. Provider business mailing address

2811 E 2ND ST
AUSTIN TX
78702-4843
US

V. Phone/Fax

Practice location:
  • Phone: 512-324-3380
  • Fax:
Mailing address:
  • Phone: 512-324-4955
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number1068783
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number879569
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: