Individual
AMANDA RALPH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, APRN, FNP-C
Contact information
Practice address
602 31ST ST, HONDO, TX 78861-3512
(830) 426-7444
Mailing address
602 31ST ST, HONDO, TX 78861-3512
(830) 423-4234
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
AP135172
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
F09170346
AANP CERTIFICATION
—
Enumeration date
09/21/2017
Last updated
09/21/2017
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