MEDICARE: MRS. POOJA ARUN MALIREDDY DNP, FNP-C, ENP-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
1	363LF0000X	Family Nurse Practitioner	1190201	TX

General Provider Information

NPI Number	:	1710845276
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. POOJA ARUN MALIREDDY DNP, FNP-C, ENP-C

Provider Business Mailing Address
First Line	:	3810 BRUSHY CREEK RD UNIT 64
Second Line	:
City	:	CEDAR PARK
State	:	TX
Zip	:	78613-2648
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3810 BRUSHY CREEK RD UNIT 64
Second Line	:
City	:	CEDAR PARK
State	:	TX
Zip	:	78613-2648
Country	:	US
Telephone Number	:	559-346-9308
Fax Number	:

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

Provider Enumeration Date	:	01/13/2026
Last Update Date	:	01/20/2026

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