Individual provider · NPI-1

Amanda Marie Bonazzi

Clinical Nurse Specialist, Adult Health · Round Rock, TX

NPI number1205009362
StatusActive
Last updated in NPPESOct 27, 2015

Details

NPI
1205009362
Entity type
Individual (NPI-1)
Name
Amanda Marie Bonazzi
Sex
Female
Sole proprietor
No
Enumeration date
Apr 10, 2008
Last updated
Oct 27, 2015

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
364SA2200X Clinical Nurse Specialist, Adult Health721093TXYes

Other names

  • Amanda Marie Malek (Former Name)

Practice location

170 Deepwood Dr
Suite 104
Round Rock, TX 78681-4944

Phone 512-458-8400 · Fax 512-458-8593

Mailing address

6500 North Mopac
Building 3 Suite 200
Austin, TX 78731

Phone 512-458-8400 · Fax 512-458-8593

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