Tieryn Boarini, FNP-C | |
12221 Renfert Way, Austin, TX 78758-5444 | |
(512) 425-3825 | |
Not Available |
Full Name | Tieryn Boarini |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 12221 Renfert Way, Austin, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1184206914 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 1035166 (Texas) | Primary |
Entity Name | Unified Womens Healthcare Of Texas Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1952703373 PECOS PAC ID: 4385944230 Enrollment ID: O20151124002729 |
Mailing Address | Practice Location Address |
---|---|
Tieryn Boarini, FNP-C 1268 Hyde Park Dr, Round Rock, TX 78665-4025 Ph: () - | Tieryn Boarini, FNP-C 12221 Renfert Way, Austin, TX 78758-5444 Ph: (512) 425-3825 |
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