Individual
AUDRA LEA MYERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP, IBCLC
Contact information
Practice address
4625 ARCHER DR, THE COLONY, TX 75056-3314
(214) 477-0854
Mailing address
4625 ARCHER DR, THE COLONY, TX 75056-3314
(214) 477-0854
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
L-25811
TX
207Q00000X
Family Medicine Physician
F02211165
TX
363LF0000X
Family Nurse Practitioner
Primary
1035264
TX
Other
Enumeration date
04/15/2021
Last updated
04/26/2021
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