Amanda Lynn Dibenedetto, FNP - C

Nurse practitioner in Georgetown, Texas · NPI 1972810976

Amanda Dibenedetto is one of 122 nurse practitioners practicing in Georgetown, Texas. Amanda Dibenedetto practices with Epiphany Dermatology PA and Mountain West Derm - Blackhart PLLC.

Registry record (NPPES)

NPI
1972810976
Type
Type 1 · Individual
Primary taxonomy
Nurse Practitioner, Family · 363LF0000X
Address on file
4513 Williams Dr
Georgetown, TX 78633-1302
(512) 930-3909
Enumerated
Sep 12, 2010
Record last updated
Dec 2, 2024
License states listed
TX

Medicare (CMS)

Enrollment
Medicare-enrolled in TX
Nurse Practitioner
Revalidation due
No date set by CMS

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Practice locations

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Updated August 2026. Practice locations and specialty come from the CMS Doctors and Clinicians file, the registry record from NPPES, and enrollment from CMS Medicare enrollment files. NPI records are corrected at the source, through NPPES.