ANNESSA FAYE VAN DE WALLE

AUSTIN, TX
NPI1376800235
Former NameANNESSA FAYE GREEN
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner Family
(Licence: TX  618160)
Enumeration Date2012-04-17
Last Update Date2012-04-17
Business Address
ANNESSA FAYE VAN DE WALLE FNP
291 HARRIS DR
AUSTIN, TX 78737-4606
Phone number: 817-366-7542
Mailing Address
ANNESSA FAYE VAN DE WALLE FNP
291 HARRIS DR
AUSTIN, TX 78737-4606
Phone number: 817-366-7542
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