Individual
AMANDA DANIELLE FRIDLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
301 UNIVERSITY BLVD, GALVESTON, TX 77555-5303
(409) 772-1011
Mailing address
1101 GULFTON DR, PEARLAND, TX 77581-6736
(281) 804-7658
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
AP145615
TX
363LN0005X
Critical Care Neonatal Nurse Practitioner
AP145615
TX
Other
Enumeration date
04/20/2020
Last updated
04/20/2020
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