Individual
AMARINA EVANS O'BYRNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
1302 N PACIFIC ST, MINEOLA, TX 75773-1022
(903) 569-5383
Mailing address
1302 N PACIFIC ST, MINEOLA, TX 75773-1022
(903) 569-5383
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP138770
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8KF224
BCBS
TX
Enumeration date
09/17/2018
Last updated
10/30/2018
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