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Amanda M Sustaita, NP
Family Nurse Practitioner in Dallas, Texas
NPI 1568738730

Amanda M Sustaita is a Family Nurse Practitioner based in Dallas, TX and is specialized in Family. Amanda M Sustaita practices in Dallas, TX and has the professional credentials of NP. The NPI Number for Amanda M Sustaita is 1568738730 and holds a License No. 730895 (Texas).

The current practice location address for Amanda M Sustaita is 12221 Merit Dr, Dallas, TX and can be reached out via phone at 214-217-1935 and via fax at 214-217-1956.

Location: 12221 Merit Dr, Dallas, TX, 75251-2202
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Provider Profile Details
NPI Number
1568738730
Provider Name
Amanda M Sustaita
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
12221 Merit Dr, Dallas, TX, 75251-2202
Phone Number
214-217-1935
Fax Number
214-217-1956
Provider Enumeration Date
03/31/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
299980701 05 TX
299980702 05 TX
institution
Provider Business Practice Location Address Details
Address
12221 Merit Dr
City
State
Zip
75251-2202
Phone Number
214-217-1935
Fax Number
214-217-1956
person
Provider Business Mailing Address Details
Address
12221 Merit Dr
City
State
Zip
75251-2202
Phone Number
214-217-1935
Fax Number
214-217-1956
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
730895 (Texas)
Definition
Definition to come...
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