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NPI Code Detail

MEDICARE: TAMARA PETRONZIO MSN, APRN, FNP-C

MEDICARE: TAMARA PETRONZIO MSN, 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
1363LF0000XFamily Nurse PractitionerAP131298TX

General Provider Information

NPI Number : 1528410081
Entity Type Code : Individual
Provider Name (Legal Business Name) : TAMARA PETRONZIO MSN, APRN, FNP-C
Provider Business Mailing Address
First Line : 5526 S CONGRESS AVE
Second Line :
City : AUSTIN
State : TX
Zip : 78745-3106
Country : US
Telephone Number : 512-462-3820
Fax Number :
Provider Business Practice Location Address
First Line : 5526 S CONGRESS AVE
Second Line :
City : AUSTIN
State : TX
Zip : 78745-3106
Country : US
Telephone Number : 512-462-3820
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/08/2016
Last Update Date : 03/21/2023

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Directions to “ TAMARA PETRONZIO MSN, APRN, FNP-C” Practice Location

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