MEDICARE: AMANDA SYLVERNE RN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163W00000X	Registered Nurse	10039147	OR
2	163W00000X	Registered Nurse	9402654	FL

General Provider Information

NPI Number	:	1457248478
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AMANDA SYLVERNE RN

Provider Business Mailing Address
First Line	:	2020 WESTCREEK LN APT 2107
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77027-3640
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2020 WESTCREEK LN APT 2107
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77027-3640
Country	:	US
Telephone Number	:	305-336-0943
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/23/2025
Last Update Date	:	06/23/2025

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