IndividualActive
Amanda Bonazzi
NPI 1205009362 · Adult Health Clinical Nurse Specialist · Round Rock, TX
Provider details
- NPI number
- 1205009362
- Entity type
- Individual
- Primary specialty
- Adult Health Clinical Nurse SpecialistPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 721093 (TX)
Practice location
170 Deepwood Dr
Suite 104
Round Rock, TX 78681-4944
Phone: (512) 458-8400
Fax: (512) 458-8593
Mailing address
6500 North Mopac
Austin, TX 78731
Registry dates
- Enumerated
- 2008-04-10
- Last updated
- 2015-10-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.