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NPI Code Detail

MEDICARE: ANIKA MOMIN APRN, FNP-C

MEDICARE:   ANIKA  MOMIN  APRN, FNP-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363L00000XNurse Practitioner1048070TX

General Provider Information

NPI Number : 1033887955
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANIKA MOMIN APRN, FNP-C
Provider Business Mailing Address
First Line : 44 EAST AVE UNIT 3805
Second Line :
City : AUSTIN
State : TX
Zip : 78701-1192
Country : US
Telephone Number : 512-903-3545
Fax Number :
Provider Business Practice Location Address
First Line : 8229 SHOAL CREEK BLVD STE 101
Second Line :
City : AUSTIN
State : TX
Zip : 78757-7556
Country : US
Telephone Number : 512-691-7077
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/03/2021
Last Update Date : 03/26/2026

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Directions to “ ANIKA MOMIN APRN, FNP-C” Practice Location

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