Individual
MRS. AMBER LEE NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4611 GUADALUPE ST STE 200, AUSTIN, TX 78751-2928
(512) 583-4211
Mailing address
4611 GUADALUPE ST STE 200, AUSTIN, TX 78751-2928
(512) 497-9643
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA15018
TX
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
08/05/2020
Last updated
01/09/2022
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