Individual
AMANDA FAITH BOONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2006 E MAIN ST, MADISONVILLE, TX 77864-2216
(936) 225-4961
Mailing address
30000 FM RD 2978, 618, MAGNOLIA, TX 77354
(434) 996-8758
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1082967
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1082967
TEXAS BOARD OF NURSING
TX
Enumeration date
07/08/2022
Last updated
07/08/2022
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