Provider Demographics
NPI:1235340423
Name:AMAECHI, AUGUSTA E (LVN)
Entity Type:Individual
Prefix:MRS
First Name:AUGUSTA
Middle Name:E
Last Name:AMAECHI
Suffix:
Gender:F
Credentials:LVN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7814 BORDEAUX LN
Mailing Address - Street 2:
Mailing Address - City:ROWLETT
Mailing Address - State:TX
Mailing Address - Zip Code:75089-2440
Mailing Address - Country:US
Mailing Address - Phone:972-475-2325
Mailing Address - Fax:972-475-2325
Practice Address - Street 1:7814 BORDEAUX LN
Practice Address - Street 2:
Practice Address - City:ROWLETT
Practice Address - State:TX
Practice Address - Zip Code:75089-2440
Practice Address - Country:US
Practice Address - Phone:972-475-2325
Practice Address - Fax:972-475-2325
Is Sole Proprietor?:No
Enumeration Date:2007-05-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program