Auddan Healthcare LLC
Nurse Practitioner, Family in Manvel, TX. Organization (NPI-2).
NPI number1811713779
StatusActive
Last updated in NPPESNov 25, 2024
Details
- NPI
- 1811713779
- Entity type
- Organization (NPI-2)
- Legal business name
- Auddan Healthcare LLC
- Organization subpart
- No
- Enumeration date
- Nov 25, 2024
- Certification date
- Nov 25, 2024
- Last updated
- Nov 25, 2024
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | – | – | Yes |
Practice location
9802 Wright DrManvel, TX 77578-1755
Phone 770-896-1070
Mailing address
9802 Wright DrManvel, TX 77578-1755
Phone 770-896-1070
Authorized official
Audrey Daniels
Nurse Practitioner
7708961070
Is something wrong?
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