AMANDA BROOKE DAVALOS FNP-C FNP-BC NPI 1710641618

NPI Information

NPI: 1710641618
Provider Name: AMANDA BROOKE DAVALOS, FNP-C, FNP-BC
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
14211 POTRANCO RD STE 100
SAN ANTONIO, TX
ZIP 78253
Phone: (281) 783-8162
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Amanda Brooke Davalos, FNP-C, FNP-BC is a family nurse practitioner in San Antonio, TX with 3 years of experience. Amanda Brooke Davalos, FNP-C, FNP-BC NPI is 1710641618. 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:

14211 POTRANCO RD STE 100
SAN ANTONIO, TX
ZIP 78253-130
Phone: (281) 783-8162

The NPI 1710641618 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 10/26/2021 and was last updated on 11/15/2023.

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	363L00000X	Nurse Practitioner		1056015	TEXAS	No
2	363LF0000X	Nurse Practitioner	Family	13381053-4405	UTAH	No
3	363LF0000X	Nurse Practitioner	Family	C-APN.0100776-C-NP	COLORADO	No
4	363LF0000X	Nurse Practitioner	Family	1056015	TEXAS	Yes

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: 4/28/2024

NPI Synchronization or Removal

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