Provider Demographics
NPI:1760670392
Name:ERMIS, AMANDA BLOUNT (DNP, AGACNP, FNP)
Entity type:Individual
Prefix:DR
First Name:AMANDA
Middle Name:BLOUNT
Last Name:ERMIS
Suffix:
Gender:F
Credentials:DNP, AGACNP, FNP
Other - Prefix:
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Mailing Address - Street 1:8701 N MOPAC EXPY STE 105
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78759-8364
Mailing Address - Country:US
Mailing Address - Phone:512-687-1970
Mailing Address - Fax:512-407-9010
Practice Address - Street 1:1180 SETON PKWY STE 125
Practice Address - Street 2:
Practice Address - City:KYLE
Practice Address - State:TX
Practice Address - Zip Code:78640-4076
Practice Address - Country:US
Practice Address - Phone:512-788-9688
Practice Address - Fax:512-268-7200
Is Sole Proprietor?:No
Enumeration Date:2007-10-09
Last Update Date:2025-08-13
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TX1158756363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3642247Medicare PIN
TNQ61652Medicare UPIN