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NPI Code Detail

MEDICARE: AMANDA KRISTINE ALBRIGHT NP-C

MEDICARE:   AMANDA KRISTINE ALBRIGHT  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
1363LF0000XFamily Nurse Practitioner1048309TX

General Provider Information

NPI Number : 1366113003
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMANDA KRISTINE ALBRIGHT NP-C
Provider Business Mailing Address
First Line : 25614 SAMBA
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78260-6213
Country : US
Telephone Number : 210-838-3133
Fax Number :
Provider Business Practice Location Address
First Line : 430 W SUNSET RD STE 135
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78209-1770
Country : US
Telephone Number : 210-455-1002
Fax Number : 210-455-1003
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/22/2021
Last Update Date : 05/04/2022

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Directions to “ AMANDA KRISTINE ALBRIGHT NP-C” Practice Location

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