Individual
AMICUA BRECKENRIDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
6104 S 1ST ST STE 102, AUSTIN, TX 78745-4052
(512) 856-9596
Mailing address
6104 S 1ST ST STE 102, AUSTIN, TX 78745-4052
(512) 856-9596
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1179517
TX
Other
Enumeration date
12/04/2024
Last updated
11/19/2025
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