Individual provider · Type 1 NPI

Amanda Broomhall, FNP

Family Nurse Practitioner · Georgetown, TX

NPI number 1962018101 Active

Practice location

1507 Rivery Blvd
Georgetown, TX 78628-3058

Mailing address

PO Box 844658
Dallas, TX 75284-4658

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X1014431 (TX)

Family Nurse Practitioner: Definition to come...

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About NPI 1962018101

Amanda Broomhall, FNP's National Provider Identifier is 1962018101, issued on Sep 22, 2020. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Georgetown, TX. The record was last updated on Nov 19, 2021.