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General NPI Number Information
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NPI Number | 1992687735
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Entity Type | Organization
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Legal Business Name | STAYWELL, PLLC
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Dates
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Enumeration Date | 07/23/2025
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Last Update Date | 07/23/2025
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Provider Practice Location Address
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Address Line | 6601 RIALTO BLVD APT 7302
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City | AUSTIN
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State | TX
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Zip | 78735
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Country | US
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Telephone | 210-429-9920
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Fax |
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Provider Business Mailing Address
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Address Line | 21750 HARDY OAK BLVD SUITE 104 PMB 560621
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City | SAN ANTONIO
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State | TX
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Zip | 78258-4946
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Country | US
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Telephone | 210-429-9920
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | AMBER METOYER
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Credential | FNP-C
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Telephone | 225-677-0020
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163WW0000X
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Taxonomy Name | Wound Care Registered Nurse
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License Number |
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License Number State |
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