Mishra, Amanda L.

Mishra, Amanda L. is an individual health care provider with primary practice located at 2301 W North Loop Blvd , Austin TX 78756-2326. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Community Health/Public Health, Physician Assistants & Advanced Practice Nursing Providers / Clinical Nurse Specialist. Physician Assistants & Advanced Practice Nursing Providers / Clinical Nurse Specialist is her primary health care specialty. Mishra, Amanda L. can be contacted via phone (512) 452-2506.

Contact Information

Primary practice address
2301 W North Loop Blvd Austin TX 78756-2326
Phone: (512) 452-2506
Fax: (512) 371-0187
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Community Health/Public Health 364SC1501X 690685 Texas
Physician Assistants & Advanced Practice Nursing Providers / Clinical Nurse Specialist 364S00000X 690685 Texas

Profile Details

NPI number 1497828693
LBN Legal business name Mishra, Amanda L.
Credentials Clinical Nurse Specialist (CNS)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 16th, 2006
Last updated Nov 15th, 2016 - about 8 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 1497828693 NPPES
Texas MEDICAID 215039302

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