Individual provider · Type 1 NPI
Ayesha Bacchus
Pediatric Nurse Practitioner · Round Rock, TX
NPI number
1477265759
Active
Practice location
16040 Park Valley Dr Ste 227
Round Rock, TX 78681-3596
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner Primary | 363LP0200X | 1102199 (TX) |
Pediatric Nurse Practitioner: Definition to come...
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About NPI 1477265759
Ayesha Bacchus's National Provider Identifier is 1477265759, issued on Dec 19, 2022. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Round Rock, TX. The record was last updated on May 3, 2024.