Ellen B Jatinen NP

NPI 1003821166 - Nurse Practitioner - 363L00000X

NPI Details
NPI 1003821166
Gender Female
Enumeration Date 07/29/2006
Last Updated 12/08/2010
Entity Type Individual
Active Over 11 years ago
Practice Location
1301 W 38TH ST, #205
AUSTIN TX, 78705-1011, US
Phone (512) 451-0161
Fax (512) 451-8354
Business Location
PO BOX 26726
AUSTIN TX, 78755-0726, US
Phone (512) 407-8686
Fax (512) 421-4489
Taxonomy Code 363L00000X
License State Texas
License Number 612662
Remove 1003821166 NPI Number

According to our database, Ellen B Jatinen NP NPI is 1003821166, taxonomy code is 363L00000X and license number is 612662, license state is located at Texas. Ellen B Jatinen NP physically located at 1301 W 38th St, #205, Austin TX, 78705-1011. NPI Number Ellen B Jatinen NP has the Individual type.

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1003821166 NPI number is provided on an as is basis without warranty of any kind. 1003821166 is maintained by the National Plan & Provider Enumeration System. The contents of Ellen B Jatinen NP are for informational purposes only.