Individual
AMANDA WALLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN-FNP
Contact information
Practice address
6161 BOWFIN DR, FORT WORTH, TX 76179-7573
(940) 704-5411
Mailing address
6161 BOWFIN DR, FORT WORTH, TX 76179-7573
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1026745
TX
Other
Enumeration date
01/15/2021
Last updated
09/15/2025
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