Individual
MRS. AMEE JEAN MORENO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
1500 COOPER ST, FORT WORTH, TX 76104-2710
(682) 885-2500
Mailing address
PO BOX 733784, DALLAS, TX 75373-3784
(682) 885-1855
(682) 885-1396
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
727576
TX
363LP2300X
Primary Care Nurse Practitioner
Primary
AP122459
TX
Other
Enumeration date
10/01/2012
Last updated
01/09/2019
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