Individual
MRS. AMANDA BRITTANY SISUL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
821 W 11TH ST, AUSTIN, TX 78701-2009
(512) 952-2644
(512) 668-7885
Mailing address
10600 GLASS MOUNTAIN TRL, AUSTIN, TX 78750-2503
(254) 913-8095
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP140239
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
798018
RN LICENSE NUMBER
TX
01
—
AP140239
APRN
TX
Enumeration date
06/12/2018
Last updated
11/16/2023
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