# AMANDA A GUJRAL

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1194376624
- **Gender:** F
- **Credential:** AGPCNP-BC

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163W00000X | Registered Nurse | 841553 | TX | — |
| 363L00000X | Nurse Practitioner | 1008679 | TX | Yes |

## Other

- **Enumeration date:** 09/25/2019
- **Last updated:** 06/08/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 418496201 | — | TX |