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Individual

MS. AMANDA LYNN DIBENEDETTO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP - C

Contact information

Practice address
4513 WILLIAMS DR, GEORGETOWN, TX 78633-1302
(512) 930-3909
(512) 869-5868
Mailing address
4513 WILLIAMS DR, GEORGETOWN, TX 78633-1302
(512) 930-3909
(512) 869-5868

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
697750
TX
363LF0000X
Family Nurse Practitioner
Primary
AP119335
TX

Other

Enumeration date
09/12/2010
Last updated
12/02/2024
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