Healthcare Provider Details

I. General information

NPI: 1407513146
Provider Name (Legal Business Name): COLLEEN KUHR APRN, FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/17/2021
Last Update Date: 04/10/2023
Certification Date: 04/10/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12717 SHOPS PKWY STE 500
BEE CAVE TX
78738-6623
US

IV. Provider business mailing address

5106 SINGLE SHOT CIR
AUSTIN TX
78723-6140
US

V. Phone/Fax

Practice location:
  • Phone: 512-222-8667
  • Fax: 512-782-9316
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number1071075
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: