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NPI Code Detail

MEDICARE: AMANDA PAIGE DEBNER FNP-BC

MEDICARE: AMANDA PAIGE DEBNER FNP-BC
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
1363LF0000XFamily Nurse Practitioner1059804TX

General Provider Information

NPI Number : 1831838721
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMANDA PAIGE DEBNER FNP-BC
Provider Business Mailing Address
First Line : 2106 OAK PEAK
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78259-1814
Country : US
Telephone Number : 210-857-2552
Fax Number :
Provider Business Practice Location Address
First Line : 7208 FM 78
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78244-1766
Country : US
Telephone Number : 210-857-2552
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/31/2022
Last Update Date : 05/31/2022

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Directions to “ AMANDA PAIGE DEBNER FNP-BC” Practice Location

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