Individual
AMANDA GEORGIE CARLOUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP-AC
Contact information
Practice address
7601 PRESTON RD, PLANO, TX 75024-3214
(972) 838-5200
Mailing address
8951 MCCUTCHINS DR APT 10110, MCKINNEY, TX 75070-1829
(972) 838-5200
Taxonomy
Speciality
Code
Description
License number
State
363LP0222X
Critical Care Pediatric Nurse Practitioner
Primary
1102162
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1102162
—
TX
Enumeration date
12/19/2022
Last updated
05/02/2023
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