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Individual

AMANDA NICOLE GATLIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSN, RN, FNP-C, CEN

Contact information

Practice address
3024 HIGHWAY 121, BEDFORD, TX 76021-4037
(817) 494-5000
(817) 494-5001
Mailing address
3024 HIGHWAY 121, BEDFORD, TX 76021-4037
(817) 494-5000
(817) 494-5001

Taxonomy

Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
755236
TX
163WG0000X
General Practice Registered Nurse
AP129442
TX
363LF0000X
Family Nurse Practitioner
Primary
AP129442
TX

Other

Enumeration date
10/26/2015
Last updated
04/25/2017
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