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Individual

AMBER WATKINS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP-C

Contact information

Practice address
2634 S CARRIER PKWY, STE 105, GRAND PRAIRIE, TX 75052-5070
(214) 880-6442
(469) 606-0917
Mailing address
18909 LLOYD CIR, APT 821, DALLAS, TX 75252-2627
(913) 999-8000
(866) 616-0686

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP127827
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
451909YLPS
WELLMED MEDICAL GROUP PA
Enumeration date
04/08/2015
Last updated
11/23/2016
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