Provider Demographics
NPI:1922441955
Name:EVERITT, AMANDA WILLIS (APRN)
Entity Type:Individual
Prefix:MRS
First Name:AMANDA
Middle Name:WILLIS
Last Name:EVERITT
Suffix:
Gender:F
Credentials:APRN
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Mailing Address - Street 1:6565 FANNIN ST STE A754
Mailing Address - Street 2:NURSE PRACTITIONER SERVICE
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77030-2703
Mailing Address - Country:US
Mailing Address - Phone:713-441-5035
Mailing Address - Fax:713-441-5308
Practice Address - Street 1:6565 FANNIN ST
Practice Address - Street 2:SUITE A754
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030-2703
Practice Address - Country:US
Practice Address - Phone:713-441-5035
Practice Address - Fax:713-441-5308
Is Sole Proprietor?:No
Enumeration Date:2013-04-09
Last Update Date:2016-02-24
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TX717408363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care