Individual
AMANDA G CERNOSEK I
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CFNP
Contact information
Practice address
1253 N VON MINDEN ST, LA GRANGE, TX 78945-1262
(979) 968-8493
(979) 968-6388
Mailing address
1253 N VON MINDEN ST, LA GRANGE, TX 78945-1262
(979) 968-8493
(979) 968-6388
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP133133
TX
Other
Enumeration date
02/09/2017
Last updated
03/30/2017
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