Reyes, Amanda Stephenson

Reyes, Amanda Stephenson is an individual health care provider with primary practice located at 17 Old San Antonio Rd Ste 201 , Boerne TX 78006-3414. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Reyes, Amanda Stephenson can be contacted via phone (830) 267-4575.

Contact Information

Primary practice address
17 Old San Antonio Rd Ste 201 Boerne TX 78006-3414
Phone: (830) 267-4575
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X AP122221 Texas

Profile Details

NPI number 1023367505
LBN Legal business name Reyes, Amanda Stephenson
Credentials MSN, FNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 2012
Last updated Jan 4th, 2022 - about 2 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 1023367505 NPPES
Texas Other 306482602 CSHCN
Texas MEDICAID 306482601 CSHCN

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