MEDICARE: AMBER SUNESARA NP-C

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	363LF0000X	Family Nurse Practitioner	1002438	TX

General Provider Information

NPI Number	:	1700494671
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AMBER SUNESARA NP-C

Provider Business Mailing Address
First Line	:	7522 TALBOT CT
Second Line	:
City	:	SUGAR LAND
State	:	TX
Zip	:	77479-6687
Country	:	US
Telephone Number	:	832-630-4598
Fax Number	:

Provider Business Practice Location Address
First Line	:	11451 KATY FWY STE 340
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77079-2009
Country	:	US
Telephone Number	:	832-862-7246
Fax Number	:

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

Provider Enumeration Date	:	07/16/2020
Last Update Date	:	02/11/2021

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Directions to “ AMBER SUNESARA NP-C” Practice Location

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