Hedges, Amanda M

Hedges, Amanda M is an sole proprietor health care provider with primary practice located at 2423 Williams Dr Ste 103 , Georgetown TX 78628-3200. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Hedges, Amanda M can be contacted via phone (877) 800-5722.

Contact Information

Primary practice address
2423 Williams Dr Ste 103 Georgetown TX 78628-3200
Phone: (877) 800-5722
Fax: (512) 930-7400
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X AP112440 Texas

Profile Details

NPI number 1215265236
LBN Legal business name Hedges, Amanda M
Credentials M MSN CPN
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 2nd, 2009
Last updated May 20th, 2022 - 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 1215265236 NPPES
Texas Other AP112440 STATE BOARD OF NURSING LICENSEPEDIATRIC NURSE PRACTITIONER
Texas Other 640141 STATE BOARD OF NURSING LICENSEPEDIATRIC NURSE PRACTITIONER
Texas MEDICAID 2134280-01 STATE BOARD OF NURSING LICENSEPEDIATRIC NURSE PRACTITIONER

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