AMY MICHELLE MEDALIE

FORT WORTH, TX
NPI1003045204
Former NameAMY MICHELLE MEDALIE
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP0200X Nurse Practitioner, Pediatrics
(Licence: CO  6037)
Enumeration Date2009-07-08
Last Update Date2021-04-07
Business Address
Mrs. AMY MICHELLE MEDALIE NP
4405 RIVER OAKS BLVD
FORT WORTH, TX 76114-2326
Phone number: 817-624-1770
Mailing Address
Mrs. AMY MICHELLE MEDALIE NP
PO BOX 733784
DALLAS, TX 75373-3784
Phone number: 682-885-1855
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