Green, Amanda Donelle

Green, Amanda Donelle is an individual health care provider with primary practice located at 4330 Medical Dr Ste 500 , San Antonio TX 78229-3318. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Acute Care, which is considered as her primary health care specialty. Green, Amanda Donelle can be contacted via phone (210) 732-3668.

Contact Information

Primary practice address
4330 Medical Dr Ste 500 San Antonio TX 78229-3318
Phone: (210) 732-3668
Fax: (210) 732-3338
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X AP121232 Texas

Profile Details

NPI number 1700145760
LBN Legal business name Green, Amanda Donelle
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date May 11th, 2012
Last updated Oct 8th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1700145760 NPPES
Texas Other 723578-RN PROFESSIONAL LICENSE

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