Doctor Name: | MR. ANDREW JOSEPH ATHMER |
NPI Number: | 1982951166 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | FNP-C |
License Number: | 588257 |
Business Practice Address: | 120 Ed Schmidt Blvd Hutto, TX - 786345558 |
Business Phone Number: | 5125099500 |
Business Fax Number: | |
Mailing Address: | 120 Ed Schmidt Blvd, HUTTO |
State: | TX |
Postal Code: | 786345558 |
Phone Number: | 5125099500 |
Fax Number: | |
NPI Enumeration Date: | 08/07/2012 |
NPI Last Update Date: | 08/07/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 588257 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |