Individual
AMANDA MARIE BONAZZI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
170 DEEPWOOD DR, SUITE 104, ROUND ROCK, TX 78681-4944
(512) 458-8400
(512) 458-8593
Mailing address
6500 NORTH MOPAC, BUILDING 3 SUITE 200, AUSTIN, TX 78731
(512) 458-8400
(512) 458-8593
Taxonomy
Speciality
Code
Description
License number
State
364SA2200X
Adult Health Clinical Nurse Specialist
Primary
721093
TX
Other
Enumeration date
04/10/2008
Last updated
10/27/2015
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