Provider Demographics
NPI:1558804914
Name:DARDEN, AMY (PNP)
Entity Type:Individual
Prefix:
First Name:AMY
Middle Name:
Last Name:DARDEN
Suffix:
Gender:F
Credentials:PNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7108 BANDERA RD STE 312
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78238-1203
Mailing Address - Country:US
Mailing Address - Phone:210-680-2400
Mailing Address - Fax:830-310-8156
Practice Address - Street 1:7108 BANDERA RD STE 312
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78238-1203
Practice Address - Country:US
Practice Address - Phone:210-680-2400
Practice Address - Fax:830-310-8156
Is Sole Proprietor?:No
Enumeration Date:2016-12-02
Last Update Date:2023-12-11
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXAP132285363LP0200X
TX731496163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics
No163W00000XNursing Service ProvidersRegistered Nurse