Mrs. AMY MICHELLE MEDALIE NP
Individual Provider (NPI-1)
Active
Nurse Practitioner, Pediatrics
Provider Information
- NPI Number
1003045204- Provider Type
- Individual Provider (NPI-1)
- Credentials
- NP
- Status
- Active
Contact & Location
- Address
- 4405 RIVER OAKS BLVD, FORT WORTH, TX, 761142326
- Phone
- (817) 624-1770
- Fax
- (817) 625-1287
Specialties & Taxonomies
Nurse Practitioner, Pediatrics
Primary License: CO #6037