BLANCA ROSA AMADOR


Address: 205 Redwood Dr, Coppell, TX 75019-5422
Phone: 9723931114

BLANCA ROSA AMADOR (NPI# 1124649546) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1124649546
Entity Type Individual
Full Name BLANCA ROSA AMADOR
Credential RN
Practice Address 205 Redwood Dr
Coppell
TX 75019-5422
Mailing Address Po Box 2961
Coppell
TX 75019-8900
Practice Telephone 9723931114
Mailing Telephone 2147628922
Enumeration Date 2020-04-27
Last Update Date 2020-04-27
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 163WC0400X Registered Nurse
Specialization: Case Management
644281 TX Nursing Service Providers

Office Location

Street Address 205 REDWOOD DR
City COPPELL
State TX
Zip Code 75019-5422

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Taxonomy Information

Taxonomy Code 163WC0400X
Grouping Nursing Service Providers
Classification Registered Nurse
Specialization Case Management

Taxonomy Definition

Definition to come...

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1851870604 Melissa Smith Registered Nurse 212 Fernwood St, Bridge City, TX 77611-2328 2018-08-13
1154800076 Anna Elizabeth Gonzalez Registered Nurse 1103 Grover Ave, Lubbock, TX 79416-5007 2018-08-10
1477032571 Diana Pemberton Registered Nurse 1255 W 15th St Ste 1025, Plano, TX 75075-7253 2018-08-09
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Competitor

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City COPPELL
Zip Code 75019

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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