Sreevani Bodavula, APRN, FNP-C
Nurse Practitioner, Family in Garland, TX. Individual provider (NPI-1).
NPI number1831978394
StatusActive
Last updated in NPPESSep 25, 2023
Details
- NPI
- 1831978394
- Entity type
- Individual (NPI-1)
- Name
- Sreevani Bodavula
- Credential
- APRN, FNP-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 25, 2023
- Certification date
- Sep 25, 2023
- Last updated
- Sep 25, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 1137372 | TX | Yes |
Practice location
6448 Broadway BlvdGarland, TX 75043-5943
Phone 972-216-8500 · Fax 972-216-8521
Mailing address
6448 Broadway BlvdGarland, TX 75043-5943
Phone 972-216-8500 · Fax 972-216-8521
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