Individual
AMY LYNN MCANULTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP-BC
Contact information
Practice address
5425 W SPRING CREEK PKWY STE 100, PLANO, TX 75024-4268
(972) 596-1059
(972) 612-5410
Mailing address
5425 W SPRING CREEK PKWY STE 100, PLANO, TX 75024-4268
(972) 596-1059
(972) 612-5410
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
610254
TX
363LA2200X
Adult Health Nurse Practitioner
610254
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
281952601
—
TX
Enumeration date
12/08/2009
Last updated
04/14/2021
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