Individual
MRS. AMANDA RAE HERRERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP-PC
Contact information
Practice address
4801 ALBERTA AVE, EL PASO, TX 79905-2707
(915) 215-5480
Mailing address
328 INTERLACHEN CT, HORIZON CITY, TX 79928-6499
(915) 329-3340
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
AP132726
TX
Other
Enumeration date
02/24/2017
Last updated
02/24/2017
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