Individual
MRS. AMANDA JEAN DIZZINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
A.R.N.P.
Contact information
Practice address
333 N SANTA ROSA ST, SAN ANTONIO, TX 78207-3108
(210) 704-4275
(210) 704-4527
Mailing address
315 N SAN SABA, SUITE 1135, SAN ANTONIO, TX 78207-3154
(210) 704-4275
(210) 704-4527
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
122908
TX
363LP0200X
Pediatric Nurse Practitioner
Primary
122908
TX
363LP0200X
Pediatric Nurse Practitioner
ARNP9254008
FL
Other
Enumeration date
05/06/2010
Last updated
05/04/2024
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