MEDICARE: AMANDA MICHELLE PENA FNP

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
1	363LF0000X	Family Nurse Practitioner	AP133583	TX

General Provider Information

NPI Number	:	1487140588
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AMANDA MICHELLE PENA FNP

Provider Business Mailing Address
First Line	:	3420 WOODRIDGE DR
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77087-3735
Country	:	US
Telephone Number	:	713-923-2273
Fax Number	:

Provider Business Practice Location Address
First Line	:	3420 WOODRIDGE DR
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77087-3735
Country	:	US
Telephone Number	:	713-923-2273
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/02/2018
Last Update Date	:	07/02/2018

Similar Medicare Providers

1285981290 — YULIET MORA AMADOR MD
Practice Location Address:

3420 WOODRIDGE DR
HOUSTON, TX
77087-3735

Practice Phone: 713-923-2273
Practice Fax: 713-923-2276

1255761326 — SANTA CLARA FAMILY CLINIC PLLC
Practice Location Address:

3420 WOODRIDGE DR
HOUSTON, TX
77087-3735

Practice Phone: 713-923-2273
Practice Fax: 713-923-2276

1588327753 — DR. JOHAN MANUEL CRESPO DE QUESADA DNP,APRN, FNP-C.
Practice Location Address:

3420 WOODRIDGE DR
HOUSTON, TX
77087-3735

Practice Phone: 713-923-2273
Practice Fax:

1295720738 — CANAAN HEALTHCARE SERVICES INC.
Practice Location Address:

12602 LALEU LN
HOUSTON, TX
77071-3735

Practice Phone: 713-771-7611
Practice Fax: 713-771-7180

1659677987 — ST. BERNADETTE OF LOURDES DIALYSIS AND EDUCATION CENTER,LLC.
Practice Location Address:

12224 ALMEDA RD , STE B
HOUSTON, TX
77045-3735

Practice Phone: 713-433-7252
Practice Fax: 713-433-2222

1154610053 — HOUSTON'S AMAZING PLACE
Practice Location Address:

3735 DREXEL DR
HOUSTON, TX
77027-6896

Practice Phone: 713-552-0420
Practice Fax: 713-552-0165

Directions to “ AMANDA MICHELLE PENA FNP” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.