Individual provider · Type 1 NPI

Kavya Yedatore, MSN, APRN, CPNP-PC

Pediatric Nurse Practitioner · Austin, TX

NPI number 1114654480 Active

Practice location

4900 Mueller Blvd
Austin, TX 78723-3051

Mailing address

9806 Tree Bend Cv
Austin, TX 78750-3837

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner Primary 363LP0200X1003301 (TX)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1114654480

Kavya Yedatore, MSN, APRN, CPNP-PC's National Provider Identifier is 1114654480, issued on Aug 5, 2022. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Austin, TX. The record was last updated on Aug 5, 2022.