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Individual

AMY EARLENE SHIRLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN, FNP-C

Contact information

Practice address
9800 N BEACH ST STE 508, FORT WORTH, TX 76244-6473
(817) 890-9111
Mailing address
9800 N BEACH ST STE 508, FORT WORTH, TX 76244-6473
(817) 890-9111

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP183318
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
AP138813
AP LICENSE NUMBER
TX
Enumeration date
09/30/2018
Last updated
04/22/2022
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