Individual
AMANDA D BULL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1500 S MAIN ST, FORT WORTH, TX 76104-4917
(817) 920-6864
Mailing address
1614 N HARRISON PARKWAY, SUITE 200, SUNRISE, FL 33323-2896
(800) 437-2672
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
699850
TX
Other
Enumeration date
02/09/2010
Last updated
02/09/2010
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