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Individual

AMANDA N EVANS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
1900 MISTLETOE BLVD STE 200, FORT WORTH, TX 76104-4049
(817) 878-5333
(817) 878-5334
Mailing address
1900 MISTLETOE BLVD STE 200, FORT WORTH, TX 76104-4049
(817) 878-5333
(817) 878-5334

Taxonomy

Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
736872
TX

Other

Enumeration date
11/04/2011
Last updated
02/04/2019
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