Individual
MRS. AMANDA PAIGE GRUBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGPCNP
Contact information
Practice address
7777 FOREST LN STE A341, DALLAS, TX 75230-2500
(972) 566-5700
(844) 290-4358
Mailing address
7777 FOREST LN STE A341, DALLAS, TX 75230-2500
(972) 566-5700
(844) 290-4358
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
AP134533
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AP134533
APRN
TX
Enumeration date
09/28/2017
Last updated
12/14/2023
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