Individual
AMANDA ROSENAUER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CFNP
Contact information
Practice address
1253 N VON MINDEN ST, LA GRANGE, TX 78945-1262
(979) 968-8493
(979) 968-6388
Mailing address
1253 N VON MINDEN ST, LA GRANGE, TX 78945-1262
(979) 968-8493
(979) 968-6388
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
764118
TX
363L00000X
Nurse Practitioner
Primary
764118
TX
363LF0000X
Family Nurse Practitioner
764118
TX
Other
Enumeration date
07/08/2013
Last updated
08/07/2019
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