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NPI Code Detail

MEDICARE: MISS DAWN BRIDGIT HOLLEMBEAK FNP, APRN-BC

MEDICARE: MISS DAWN BRIDGIT HOLLEMBEAK FNP, APRN-BC
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
1363LF0000XFamily Nurse PractitionerAP113876TX

General Provider Information

NPI Number : 1265659783
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISS DAWN BRIDGIT HOLLEMBEAK FNP, APRN-BC
Provider Business Mailing Address
First Line : 2610 LAKE AUSTIN BLVD
Second Line :
City : AUSTIN
State : TX
Zip : 78703-4429
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2610 LAKE AUSTIN BLVD
Second Line :
City : AUSTIN
State : TX
Zip : 78703-4429
Country : US
Telephone Number : 866-389-2727
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/18/2007
Last Update Date : 07/02/2020

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