Provider Demographics
NPI:1467099796
Name:DAY, AMANDA M (MSN, AGACNP-BC, CCRN)
Entity Type:Individual
Prefix:MRS
First Name:AMANDA
Middle Name:M
Last Name:DAY
Suffix:
Gender:F
Credentials:MSN, AGACNP-BC, CCRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3927 GRISSOM WOODS
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78251-2861
Mailing Address - Country:US
Mailing Address - Phone:281-728-2846
Mailing Address - Fax:
Practice Address - Street 1:18707 HARDY OAK BLVD STE 530
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78258-4791
Practice Address - Country:US
Practice Address - Phone:210-495-8280
Practice Address - Fax:210-481-3116
Is Sole Proprietor?:Yes
Enumeration Date:2019-12-05
Last Update Date:2021-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX829565163WC0200X
TXAP144072363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care
No163WC0200XNursing Service ProvidersRegistered NurseCritical Care Medicine