Individual
MRS. AMANDA STEPHENSON REYES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, FNP-BC
Contact information
Practice address
17 OLD SAN ANTONIO RD STE 201, BOERNE, TX 78006-3414
(830) 267-4575
Mailing address
17 OLD SAN ANTONIO RD STE 201, BOERNE, TX 78006-3414
(830) 267-4575
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP122221
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
306482601
—
TX
01
—
306482602
CSHCN
TX
Enumeration date
08/30/2012
Last updated
01/04/2022
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