Advanced Family Practice, PLLC
Nurse Practitioner in Amarillo, TX. Organization (NPI-2).
NPI number1790268282
StatusActive
Last updated in NPPESSep 25, 2018
Details
- NPI
- 1790268282
- Entity type
- Organization (NPI-2)
- Legal business name
- Advanced Family Practice, PLLC
- Organization subpart
- No
- Enumeration date
- Sep 11, 2018
- Last updated
- Sep 25, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363L00000X | Nurse Practitioner | – | – | Yes |
Practice location
1901 Medi Park Dr Ste 2036Amarillo, TX 79106-2109
Phone 806-468-4317
Mailing address
1901 Medi Park Dr Ste 2036Amarillo, TX 79106-2109
Authorized official
Jana Tristan
Owner/Provider
8065843440
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