Individual
AMY MICHELLE BIRD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ACNP-BC
Contact information
Practice address
1201 FAIRMOUNT AVE, FORT WORTH, TX 76104-4215
(817) 335-5288
(817) 338-0927
Mailing address
1201 FAIRMOUNT AVE, FORT WORTH, TX 76104-4215
(817) 335-5288
(817) 338-0927
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
708068
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
708068
LICENSE
TX
Enumeration date
04/28/2010
Last updated
02/13/2025
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