Provider Demographics
NPI:1801481288
Name:ANTONY, SAUMYA (MSN PMHNP-BC, APRN)
Entity type:Individual
Prefix:
First Name:SAUMYA
Middle Name:
Last Name:ANTONY
Suffix:
Gender:F
Credentials:MSN PMHNP-BC, APRN
Other - Prefix:
Other - First Name:SAUMYA
Other - Middle Name:
Other - Last Name:ANTONY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:APRN
Mailing Address - Street 1:9107 ROCKWOOD DR
Mailing Address - Street 2:
Mailing Address - City:AMARILLO
Mailing Address - State:TX
Mailing Address - Zip Code:79119-1381
Mailing Address - Country:US
Mailing Address - Phone:806-410-7250
Mailing Address - Fax:
Practice Address - Street 1:9107 ROCKWOOD DR
Practice Address - Street 2:
Practice Address - City:AMARILLO
Practice Address - State:TX
Practice Address - Zip Code:79119-1381
Practice Address - Country:US
Practice Address - Phone:806-410-7250
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-03-07
Last Update Date:2021-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX897374163W00000X
TX1054312363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No163W00000XNursing Service ProvidersRegistered Nurse