Provider Demographics
NPI:1356712384
Name:DENNY, MARIAH (APRN)
Entity type:Individual
Prefix:
First Name:MARIAH
Middle Name:
Last Name:DENNY
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:MARIAH
Other - Middle Name:DENNY
Other - Last Name:BARNETT
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:APRN
Mailing Address - Street 1:5900 SOUTHWEST PKWY
Mailing Address - Street 2:BLDG 4, SUITE 401
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78735-6202
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:5900 SOUTHWEST PKWY
Practice Address - Street 2:BLDG 4, SUITE 401
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78735-6202
Practice Address - Country:US
Practice Address - Phone:512-458-6656
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-10-16
Last Update Date:2015-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP128246364SA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SA2200XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistAdult Health