Individual
AMANDA L HIATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5705 DIEHL TRL APT 3303, AUSTIN, TX 78727-0079
(607) 239-9933
Mailing address
5705 DIEHL TRL APT 3303, AUSTIN, TX 78727-0079
(607) 239-9933
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
1054844
TX
Other
Enumeration date
06/12/2024
Last updated
06/13/2024
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