MEDICARE: MRS. VIRGINIA KATHLEEN AUSTIN RN, BSN, CRNFA, FNP

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	648218	TX
2	363LF0000X	Family Nurse Practitioner	1189957	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1189957	OTHER	TX	FNP LICENSE
2	1881850295	OTHER	TX	BUSINESS NPI

General Provider Information

NPI Number	:	1861454381
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. VIRGINIA KATHLEEN AUSTIN RN, BSN, CRNFA, FNP

Provider Business Mailing Address
First Line	:	2306 BAY LAKES CT
Second Line	:
City	:	ARLINGTON
State	:	TX
Zip	:	76016-1176
Country	:	US
Telephone Number	:	817-907-2918
Fax Number	:

Provider Business Practice Location Address
First Line	:	2306 BAY LAKES CT
Second Line	:
City	:	ARLINGTON
State	:	TX
Zip	:	76016-1176
Country	:	US
Telephone Number	:	817-907-2918
Fax Number	:

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

Provider Enumeration Date	:	04/03/2006
Last Update Date	:	04/11/2025

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