Bonazzi, Amanda Marie

Bonazzi, Amanda Marie is an individual health care provider with primary practice located at 170 Deepwood Dr Suite 104, Round Rock TX 78681-4944. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Bonazzi, Amanda Marie can be contacted via phone (512) 458-8400.

Contact Information

Primary practice address
170 Deepwood Dr Suite 104 Round Rock TX 78681-4944
Phone: (512) 458-8400
Fax: (512) 458-8593
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 364SA2200X 721093 Texas

Profile Details

NPI number 1205009362
LBN Legal business name Bonazzi, Amanda Marie
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 10th, 2008
Last updated Oct 27th, 2015 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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