Individual
AMANDA M BURKHALTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP- PC/AC
Contact information
Practice address
333 N SANTA ROSA, SAN ANTONIO, TX 78207-3108
(210) 704-4841
(210) 704-4952
Mailing address
333 N. SANTA ROSA ST, CCF BUILDING, 4TH FLOOR NEUROLOGY, SAN ANTONIO, TX 78207
(102) 704-4841
(102) 704-4952
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
657515
TX
363LP0200X
Pediatric Nurse Practitioner
Primary
AP114044
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
285649401
—
TX
01
—
285649402
CSHCN
TX
Enumeration date
06/21/2007
Last updated
05/16/2022
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