Individual
AMANDA CARLISLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5000 DAVIS LN STE 106, AUSTIN, TX 78749-3802
(512) 371-6398
(512) 793-9783
Mailing address
5000 DAVIS LN STE 106, AUSTIN, TX 78749-3802
(512) 371-6398
(512) 793-9783
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP128293
TX
Other
Enumeration date
06/14/2015
Last updated
10/07/2022
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