Provider Demographics
NPI:1922548908
Name:STRAUS, AUDREY NICOLE (NP)
Entity Type:Individual
Prefix:
First Name:AUDREY
Middle Name:NICOLE
Last Name:STRAUS
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6801 S IH 35 STE 1E
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78744-4824
Mailing Address - Country:US
Mailing Address - Phone:521-978-9960
Mailing Address - Fax:512-776-0470
Practice Address - Street 1:6801 S IH 35 STE 1E
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78744-4824
Practice Address - Country:US
Practice Address - Phone:521-978-9960
Practice Address - Fax:512-776-0470
Is Sole Proprietor?:No
Enumeration Date:2017-02-24
Last Update Date:2019-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP133196363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily