NPI 1013442664

Amanda Marie Ellenburg, MSPAC

Practitioner Physician Assistant Boerne, TX

Practice location

Address: 25723 Old Fredericksburg Rd, Boerne, TX 78015-6605
Phone: (210) 450-6800

Registered specialties

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence PA11103 (TX)

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Registry record

NPI: 1013442664
Entity type: Individual
Sex (as registered): Female
NPI issued: 20 Apr 2017
Record last updated: 2 Nov 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.