Individual provider · Type 1 NPI
Bryan Reid Luedecke, PHMNP-BC- MSN, RN
Psychiatric/Mental Health Nurse Practitioner · Austin, TX
NPI number
1700669462
Active
Practice location
8334 Cross Park Dr
Austin, TX 78754-5122
Fax (512) 323-2625
Mailing address
12800 Harrisglenn Dr Apt 1212
Austin, TX 78753-5336
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 1131904 (TX) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1700669462
Bryan Reid Luedecke, PHMNP-BC- MSN, RN's National Provider Identifier is 1700669462, issued on Aug 16, 2023. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Austin, TX. The record was last updated on Aug 16, 2023.