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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 9 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1366418998 NPPES
Texas Other TXB153125 WELLMED PTAN
Texas MEDICAID 092886304 WELLMED PTAN

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