Gonzalez, Amanda W

Gonzalez, Amanda W is an individual health care provider with primary practice located at 191 East Price Road , Brownsville TX 78523-9988. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Women's Health, which is considered as her primary health care specialty. Gonzalez, Amanda W can be contacted via phone (956) 621-3593.

Contact Information

Primary practice address
191 East Price Road Brownsville TX 78523-9988
Phone: (956) 621-3593
Fax: (956) 621-3689
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Women's Health 363LW0102X AP109736 Texas

Profile Details

NPI number 1578566063
LBN Legal business name Gonzalez, Amanda W
Credentials RN,WHNP,BS
Entity Individual
Sole proprietor 1 No
Enumeration date May 27th, 2005
Last updated Sep 16th, 2021 - about 3 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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Identifiers

StateTypeNumberIssuer
All States NPI 1578566063 NPPES
Texas Other 82N897 BLUE CROSS
Texas MEDICAID 0415796-01 BLUE CROSS

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