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NPI Code Detail

MEDICARE: STEPHANIE LAN DANG ACNS-BC, PMHNP-BC

MEDICARE: STEPHANIE LAN DANG ACNS-BC, PMHNP-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
1363LP0808XPsychiatric/Mental Health Nurse PractitionerAP122750TX
2364SA2200XAdult Health Clinical Nurse Specialist791452TX

General Provider Information

NPI Number : 1376897546
Entity Type Code : Individual
Provider Name (Legal Business Name) : STEPHANIE LAN DANG ACNS-BC, PMHNP-BC
Provider Business Mailing Address
First Line : 7337 MENCHACA RD UNIT 27
Second Line :
City : AUSTIN
State : TX
Zip : 78745-5339
Country : US
Telephone Number : 512-937-3575
Fax Number : 855-577-2775
Provider Business Practice Location Address
First Line : 600 KINNEY AVE
Second Line :
City : AUSTIN
State : TX
Zip : 78704-1433
Country : US
Telephone Number : 512-937-3575
Fax Number : 855-577-2775
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/09/2012
Last Update Date : 06/05/2026

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Directions to “ STEPHANIE LAN DANG ACNS-BC, PMHNP-BC” Practice Location

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