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Search › Texas › 101YA0400X

Nanette Fodell, LCDC

NPI 1356814313 · on the registry since 2019 · sole proprietor

Practice

Address
12335 Hymeadow Dr Ste 300
Austin, TX 78750
Phone
(512) 250-9355
Fax
(512) 250-0229
Organisation at this address
Jessica Medlyn
Omni Dental Group
Tx Southern Dental Pc
Kathryn James Ventures
Custer Psychology Pllc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
37

Registry record

Primary taxonomy
101YA0400X
101YA0400X
Licence states on file
TX
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2019-01-02

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas