Individual
MRS. AMIE WOLVERTON RIDDLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
320 SILVER CANYON DR, FORT WORTH, TX 76108-9612
(817) 734-7981
Mailing address
6320 SOUTHWEST BLVD, SUITE 207, BENBROOK, TX 76109-6965
(817) 735-4430
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP132445
TX
Other
Enumeration date
10/31/2016
Last updated
10/31/2016
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