Healthcare Provider Details

I. General information

NPI: 1982514907
Provider Name (Legal Business Name): AMANDA CALLEY FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/10/2026
Last Update Date: 09/10/2026
Certification Date: 09/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4112 COLLEGE AVE
SNYDER TX
79549-6034
US

IV. Provider business mailing address

10434 HIGHWAY 350
SNYDER TX
79549-1722
US

V. Phone/Fax

Practice location:
  • Phone: 806-786-8405
  • Fax:
Mailing address:
  • Phone: 806-786-8405
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number1247835
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: