Amy Anderson, AGACNP-BC
Nurse Practitioner, Acute Care in Port Arthur, TX. Individual provider (NPI-1).
NPI number1649915331
StatusActive
Last updated in NPPESMar 13, 2023
Details
- NPI
- 1649915331
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Amy Anderson
- Credential
- AGACNP-BC
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 28, 2022
- Certification date
- Mar 13, 2023
- Last updated
- Mar 13, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LA2100X | Nurse Practitioner, Acute Care | 1076007 | TX | Yes |
Practice location
2501 Jimmy Johnson BlvdSuite 401
Port Arthur, TX 77640
Phone 409-401-5864
Mailing address
2501 Jimmy JohnsonblvdSuite 401
Port Arthur, TX 77640
Other practice locations
8595 Medical Center Blvd
Port Arthur, TX 77640
Port Arthur, TX 77640
Phone 409-721-8600
3080 College St
Beaumont, TX 77701
Beaumont, TX 77701
Phone 409-212-5000
538 Broadway
Winnie, TX 77665-7600
Winnie, TX 77665-7600
Phone 409-296-6505
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