Individual
AMANDA CLAIRE PERALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, MSN, FNP-C
Contact information
Practice address
3533 S ALAMEDA ST, CORPUS CHRISTI, TX 78411-1721
(361) 694-5086
(361) 855-9518
Mailing address
3533 S ALAMEDA ST, CORPUS CHRISTI, TX 78411-1721
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
779672
TX
363L00000X
Nurse Practitioner
Primary
AP134497
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
381324803
—
TX
Enumeration date
09/25/2017
Last updated
01/06/2021
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