Individual
AMANDA MCDONOUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, AGACNP, RN
Contact information
Practice address
301 SETON PKWY STE 302, ROUND ROCK, TX 78665-8003
(512) 324-4812
Mailing address
301 SETON PKWY STE 302, ROUND ROCK, TX 78665-8003
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
820093
TX
363LA2100X
Acute Care Nurse Practitioner
Primary
AP143966
TX
Other
Enumeration date
09/16/2019
Last updated
11/09/2019
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