Individual
MRS. AMY ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP-BC
Contact information
Practice address
2501 JIMMY JOHNSON BLVD, SUITE 401, PORT ARTHUR, TX 77640
(409) 401-5864
Mailing address
2501 JIMMY JOHNSONBLVD, SUITE 401, PORT ARTHUR, TX 77640
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
1076007
TX
Other
Enumeration date
04/28/2022
Last updated
03/13/2023
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