MEDICARE: BRITTNEY BOBADILLA

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
1	163W00000X	Registered Nurse	1115050	TX

General Provider Information

NPI Number	:	1538902226
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRITTNEY BOBADILLA

Provider Business Mailing Address
First Line	:	6705 W HIGHWAY 290
Second Line	:	SUITE 502 PMB 1094
City	:	AUSTIN
State	:	TX
Zip	:	78735-8407
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	6705 W HIGHWAY 290
Second Line	:	SUITE 502 PMB 1094
City	:	AUSTIN
State	:	TX
Zip	:	78735-8407
Country	:	US
Telephone Number	:	773-954-9416
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/18/2024
Last Update Date	:	06/18/2024

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Directions to “ BRITTNEY BOBADILLA ” Practice Location

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