Individual
AMBER B HUSSAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
WHNP
Contact information
Practice address
855 MONTGOMERY ST, DEPT OF OB/GYN, FORT WORTH, TX 76107-2553
(817) 735-2238
Mailing address
PO BOX 99335, FORT WORTH, TX 76199-0335
Taxonomy
Speciality
Code
Description
License number
State
163WW0101X
Ambulatory Women's Health Care Registered Nurse
RN721457
TX
363LW0102X
Women's Health Nurse Practitioner
Primary
721457
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
203260901
—
TX
01
—
804N92
BCBS
TX
Enumeration date
06/01/2009
Last updated
03/22/2011
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