Individual
MS. AMANDA RAE SPOSATO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, RN
Contact information
Practice address
311 CAMDEN ST STE 510, SAN ANTONIO, TX 78215-2015
(210) 591-1615
(210) 591-1635
Mailing address
5839 LOS CERRITOS DR, EL PASO, TX 79912-2048
(915) 422-2511
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
770968
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
403725101
—
TX
Enumeration date
02/04/2019
Last updated
01/14/2020
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