Provider Demographics
NPI:1487885901
Name:AMADI, BERNARDINE C (FNP)
Entity type:Individual
Prefix:MS
First Name:BERNARDINE
Middle Name:C
Last Name:AMADI
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8711 NORTH FWY
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77037-2722
Mailing Address - Country:US
Mailing Address - Phone:281-931-4080
Mailing Address - Fax:281-931-4601
Practice Address - Street 1:8711 N FWY
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77037
Practice Address - Country:US
Practice Address - Phone:281-931-4080
Practice Address - Fax:281-931-4601
Is Sole Proprietor?:No
Enumeration Date:2009-07-31
Last Update Date:2024-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX777724363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily