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NPI Code Detail

MEDICARE: AMANDA MARIE STRATFORD

MEDICARE:   AMANDA MARIE STRATFORD
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 Practitioner1007955TX

General Provider Information

NPI Number : 1336739598
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMANDA MARIE STRATFORD
Provider Business Mailing Address
First Line : 3092 CAMDEN PARK LN
Second Line :
City : LEAGUE CITY
State : TX
Zip : 77573-7175
Country : US
Telephone Number : 303-345-1945
Fax Number :
Provider Business Practice Location Address
First Line : 3092 CAMDEN PARK LN
Second Line :
City : LEAGUE CITY
State : TX
Zip : 77573-7175
Country : US
Telephone Number : 303-345-1945
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/21/2021
Last Update Date : 01/21/2021

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Directions to “ AMANDA MARIE STRATFORD ” Practice Location

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