Provider Demographics
NPI:1336978006
Name:PATEL, PREETI (APRN, FNP-BC)
Entity type:Individual
Prefix:
First Name:PREETI
Middle Name:
Last Name:PATEL
Suffix:
Gender:
Credentials:APRN, FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4321 BIG TREE TRL
Mailing Address - Street 2:
Mailing Address - City:LEANDER
Mailing Address - State:TX
Mailing Address - Zip Code:78641-3196
Mailing Address - Country:US
Mailing Address - Phone:571-274-4853
Mailing Address - Fax:
Practice Address - Street 1:2911 MEDICAL ARTS ST # 16AND
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78705-3376
Practice Address - Country:US
Practice Address - Phone:512-551-3490
Practice Address - Fax:833-973-3889
Is Sole Proprietor?:No
Enumeration Date:2024-07-30
Last Update Date:2025-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1170069363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily