Blanca Rosa Amador, RN

Individual provider Active NPI Case Management Registered Nurse · Coppell, TX

NPI 1124649546 · NPPES record last updated Apr 27, 2020

Key facts

NPI
1124649546
Entity type
Individual (NPI type 1)
Primary specialty
Case Management Registered Nurse 163WC0400X
License
644281 (TX)
Practice address
205 Redwood Dr
Coppell, TX 75019-5422
Phone
(972) 393-1114
NPI assigned
Apr 27, 2020
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
644281TXMDCase Management Registered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Registered Nurse 163WC0400X 644281 TX Yes

Addresses

Primary practice location

205 Redwood Dr
Coppell, TX 75019-5422

Mailing address

PO Box 2961
Coppell, TX 75019-8900
Phone (214) 762-8922

Electronic endpoints

TypeEndpointUseAffiliation
CONNECT URL COPPELL Direct

Other providers in Coppell, TX

All providers in Coppell, TX · Case Management Registered Nurse in Texas

Sources for this page

Verify at the official NPI Registry.