Gondran, Sue Ellen
Gondran, Sue Ellen is an individual health care provider with primary practice located at 6406 N Ih 35 Ste 2600, Austin TX 78752-4352. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Gondran, Sue Ellen can be contacted via phone (512) 465-4800.Contact Information
Primary practice address
6406 N Ih 35 Ste 2600
Austin TX 78752-4352
Phone: (512) 465-4800
Fax: (512) 420-0118
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | AP106545 | Texas |
Profile Details
| NPI number | 1366418998 |
|---|---|
| LBN Legal business name | Gondran, Sue Ellen |
| Credentials | Family Nurse Practitioner (FNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 24th, 2006 |
| Last updated | Oct 14th, 2016 - about 10 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1366418998 | NPPES |
| Texas | Other | TXB153125 | WELLMED PTAN |
| Texas | MEDICAID | 092886304 | WELLMED PTAN |
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