MRS. Amanda Gayle Boren, RN

NPI #1215592928 in Longview, Texas

Provider Information

NPI Number: 1215592928
Entity Type: Individual
Name: MRS. Amanda Gayle Boren, RN
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Registered Nurse
Credential: RN
Enumeration Date: May 8, 2019
Last Updated: May 8, 2019

Practice Location

Address: 301 W HAWKINS PKWY APT 107
City: Longview
State: Texas
ZIP Code: 75605-1819
Phone: (903) 445-8430

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Registered Nurse	163W00000X	Primary

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