Individual
AMANDA RENEE MCDANIEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
5637 E FM 4, GRANDVIEW, TX 76050-3015
(817) 229-3837
Mailing address
5637 E FM 4, GRANDVIEW, TX 76050-3015
(817) 229-3837
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
1032095
TX
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
1032095
TX
Other
Enumeration date
06/23/2021
Last updated
03/02/2023
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