Individual
AMANDA RAE MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, FNP-C
Contact information
Practice address
1129 6TH AVE, FORT WORTH, TX 76104-4306
(682) 885-6248
(682) 885-6249
Mailing address
PO BOX 733784, DALLAS, TX 75373-3784
(682) 885-6483
(682) 885-3113
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1002621
TX
Other
Enumeration date
09/24/2020
Last updated
12/05/2023
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