Provider Demographics
NPI:1366968588
Name:NIENKE SPLINT GUL, PMHNP, PLLC
Entity type:Organization
Organization Name:NIENKE SPLINT GUL, PMHNP, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:NIENKE
Authorized Official - Middle Name:SPLINT
Authorized Official - Last Name:GUL
Authorized Official - Suffix:
Authorized Official - Credentials:PMHNP
Authorized Official - Phone:512-454-5716
Mailing Address - Street 1:3305 NORTHLAND DR STE 210
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78731-4988
Mailing Address - Country:US
Mailing Address - Phone:512-454-5716
Mailing Address - Fax:512-454-6276
Practice Address - Street 1:3305 NORTHLAND DR STE 210
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78731-4988
Practice Address - Country:US
Practice Address - Phone:512-454-5716
Practice Address - Fax:512-454-6276
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-08-18
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP128543363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty