# AMANDA WOLTERING

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1477133106
- **Gender:** F

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163W00000X | Registered Nurse | 845345 | TX | — |
| 363L00000X | Nurse Practitioner | 1045570 | TX | Yes |
| 363L00000X | Nurse Practitioner | 1045580 | TX | — |

## Other

- **Enumeration date:** 04/08/2021
- **Last updated:** 07/07/2021