Individual
AMANDA R STANLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
9807 FARM ROAD 114, CLARKSVILLE, TX 75426-7416
(903) 495-3898
Mailing address
9807 FARM ROAD 114, CLARKSVILLE, TX 75426-7416
(903) 495-3898
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
Primary
756988
TX
Other
Enumeration date
08/04/2021
Last updated
08/04/2021
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