Individual
AMANDA L. MISHRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNS
Contact information
Practice address
807 STARK ST, AUSTIN, TX 78756-1508
(512) 452-2506
(512) 371-0187
Mailing address
807 STARK ST, AUSTIN, TX 78756-1508
(512) 452-2506
(512) 371-0187
Taxonomy
Speciality
Code
Description
License number
State
364S00000X
Clinical Nurse Specialist
Primary
690685
TX
364SC1501X
Community Health/Public Health Clinical Nurse Specialist
690685
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
215039302
—
TX
Enumeration date
11/16/2006
Last updated
08/01/2024
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