# DR. AMANDA WITT NUNLEY

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

## Provider details

- **NPI number:** 1548423288
- **Gender:** F
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | BP1-0029052 | TX | — |
| 207Q00000X | Family Medicine Physician | N5913 | TX | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | BP1-0029052 | TX | — |

## Other

- **Enumeration date:** 07/02/2008
- **Last updated:** 11/17/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 00R90C | GROUP PTAN 00R90C | TX |
| 01 | — | TXB125053 | MEDICARE PTAN | TX |