AMANDA SHAY TICE

FORT WORTH, TX
NPI1740629591
Former NameAMANDA SHAY MEDLIN
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LA2100X Nurse Practitioner, Acute Care
(Licence: TX  703553)
Enumeration Date2013-06-14
Last Update Date2015-12-22
Business Address
-- AMANDA SHAY TICE ACNP
1000 HOUSTON STREET SUITE 200
FORT WORTH, TX 76102
Phone number: 817-336-0551
Mailing Address
-- AMANDA SHAY TICE ACNP
1000 HOUSTON STREET SUITE 200
FORT WORTH, TX 76102
Phone number: 817-336-0551
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