AMANDA LAVALLEE NNP NPI 1720148091

NPI Information

NPI: 1720148091
Provider Name: AMANDA LAVALLEE, NNP
Classification: Nurse Practitioner - 363LN0005X
Entity Type: Individual

Specialization: Neonatal, Critical Care

Address:
1935 MEDICAL DISTRICT DR
DALLAS, TX
ZIP 75235
Phone: (214) 456-7871
Get Directions

Amanda Lavallee, NNP is a neonatal and critical care nurse practitioner in Dallas, TX. Amanda Lavallee, NNP NPI is 1720148091. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1935 MEDICAL DISTRICT DR
DALLAS, TX
ZIP 75235-701
Phone: (214) 456-7871
Fax: (214) 456-0850

The enumeration date for this NPI number is 12/9/2006 and was last updated on 6/29/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LN0005X	Nurse Practitioner	Neonatal, Critical Care	NP124639	TEXAS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	626130284B	MEDICAID	GEORGIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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