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Amanda Avalos, APRN, CPNP-PC

Nurse Practitioner, Primary Care in Fort Worth, TX. Individual provider (NPI-1).

NPI number1720734494
StatusActive
Last updated in NPPESMay 6, 2022

Details

NPI
1720734494
Entity type
Individual (NPI-1)
Name
Amanda Avalos
Credential
APRN, CPNP-PC
Sex
Female
Sole proprietor
No
Enumeration date
Feb 22, 2022
Certification date
Mar 30, 2022
Last updated
May 6, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LP2300X Nurse Practitioner, Primary Care1048716TXYes
363LP0200X Nurse Practitioner, Pediatrics1048716TX

Practice location

4405 River Oaks Blvd
Fort Worth, TX 76114-2326

Phone 817-624-1770 · Fax 817-625-1287

Mailing address

Po Box 733784
Dallas, TX 75373-3784

Phone 682-885-6483 · Fax 682-885-3113

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