Russell, Amanda

Russell, Amanda is an individual health care provider with primary practice located at 12029 Bryony Dr , Austin TX 78739-1945. She recently has only one registered license in Other Service Providers / Lactation Consultant, Non-RN, which is considered as her primary health care specialty. Russell, Amanda can be contacted via phone (512) 484-2637.

Contact Information

Primary practice address
12029 Bryony Dr Austin TX 78739-1945
Phone: (512) 484-2637
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Lactation Consultant, Non-RN 174N00000X L-302797

Profile Details

NPI number 1225738206
LBN Legal business name Russell, Amanda
Credentials IBCLC
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 7th, 2023
Last updated Mar 7th, 2023 - about last year

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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