Individual
AMY ANN NOLD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
400 HOSPITAL DR STE 210, CORSICANA, TX 75110-2489
(903) 641-4835
(903) 641-4846
Mailing address
400 HOSPITAL DR STE 111, CORSICANA, TX 75110-2489
(903) 641-3815
(903) 641-3863
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA07877
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3043168-01
—
TX
05
—
3043168-03
—
TX
01
—
8N0473
BCBS
—
Enumeration date
07/09/2012
Last updated
02/08/2023
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