Individual
AMANDA WOLTERING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
305 N HEATHERWILDE BLVD STE 140, PFLUGERVILLE, TX 78660-4190
(512) 522-6833
Mailing address
PO BOX 302173, AUSTIN, TX 78703-0037
(720) 982-4476
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
845345
TX
363L00000X
Nurse Practitioner
Primary
1045570
TX
363L00000X
Nurse Practitioner
1045580
TX
Other
Enumeration date
04/08/2021
Last updated
07/07/2021
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