Individual
AMANDA RENEE BIZZELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
919 E 32ND ST, AUSTIN, TX 78705-2703
(512) 630-6227
Mailing address
2601 LA FRONTERA BLVD APT 2321, ROUND ROCK, TX 78681-8054
(512) 630-6227
Taxonomy
Speciality
Code
Description
License number
State
163WN0002X
Neonatal Intensive Care Registered Nurse
878824
TX
363LN0000X
Neonatal Nurse Practitioner
Primary
254218
AZ
Other
Enumeration date
11/03/2020
Last updated
03/12/2021
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