Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mary Quinn Fassnacht, CPNP-PC

Individual provider Pediatric Nurse Practitioner · NPI 1063022556

Mary Quinn Fassnacht, CPNP-PC is a Pediatric Nurse Practitioner in Austin, Texas. Licensed in Texas. Registered with an NPI since 2020.

Licensed in
TX
In the registry since
2020

Practice location Address checks out

4900 Mueller Blvd Rm 3J.015
Austin, TX 78723-3051
Phone: (512) 324-0197
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Nurse Practitioner (primary) Taxonomy 363LP0200X · Licence 1011145 (TX)

Record details

NPI number1063022556
Entity typeIndividual (Type 1)
GenderFemale
Credentials CPNP-PC
Sole proprietorNo
NPI enumeratedAugust 9, 2020
Last updated in NPPESAugust 16, 2024
Certification dateAugust 15, 2024

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