Provider Demographics
NPI:1144111428
Name:KNODELL, AUDREY (APRN, FNP-C)
Entity type:Individual
Prefix:
First Name:AUDREY
Middle Name:
Last Name:KNODELL
Suffix:
Gender:X
Credentials:APRN, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:901 W 38TH ST STE 401
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78705-1162
Mailing Address - Country:US
Mailing Address - Phone:512-371-8817
Mailing Address - Fax:
Practice Address - Street 1:901 W 38TH ST STE 401
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78705-1162
Practice Address - Country:US
Practice Address - Phone:512-371-8817
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-14
Last Update Date:2025-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1074154363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily