Doctor Name: | VALERIE MACLAURIN |
NPI Number: | 1003054735 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CPNP |
License Number: | 666063 |
Business Practice Address: | 7020 Easy Wind Dr Bldg 5 Suite #130 Austin, TX - 787522361 |
Business Phone Number: | 5126281898 |
Business Fax Number: | 5126001849 |
Mailing Address: | 1301 Barbara Jordan Blvd Ste 200, AUSTIN |
State: | TX |
Postal Code: | 787233078 |
Phone Number: | 5126281820 |
Fax Number: | 5126281820 |
NPI Enumeration Date: | 02/03/2009 |
NPI Last Update Date: | 04/08/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LP0200X |
License Number: | 666063 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Pediatrics |
Taxonomy Definition: |