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1154059780
ASHLEY WIETZ NOTTEBART
AUSTIN, TX
NPI
1154059780
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: TX 1088487)
Enumeration Date
2022-08-11
Last Update Date
2022-08-11
Business Address
ASHLEY WIETZ NOTTEBART PMHNP-BC
5424 W US HWY 290 SERVICE RD
AUSTIN, TX 78735
Phone number: 512-430-1130
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Mailing Address
ASHLEY WIETZ NOTTEBART PMHNP-BC
5424 W US 290 HWY SERVICE RD
AUSTIN, TX 78735
Phone number: 512-430-1130
Copy
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