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Amanda Riddle
Gerontology Nurse Practitioner in Fort Worth, Texas
NPI 1689452658

Amanda Riddle is a Gerontology Nurse Practitioner based in Fort Worth, TX and is specialized in Gerontology. Amanda Riddle practices in Fort Worth, TX. The NPI Number for Amanda Riddle is 1689452658 and holds a License No. 1134077 (Texas).

The current practice location address for Amanda Riddle is 1301 Pennsylvania Ave, Fort Worth, TX and can be reached out via phone at 817-250-4634. You can also correspond with Amanda Riddle through the mailing address at 1301 PENNSYLVANIA AVE, FORT WORTH, TX - 76104-2122 (mailing address contact number: 817-250-4634).

Location: 1301 Pennsylvania Ave, Fort Worth, TX, 76104-2122
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Provider Profile Details
NPI Number
1689452658
Provider Name
Amanda Riddle
Credential
Provider Entity Type
Individual
Gender
Female
Address
1301 Pennsylvania Ave, Fort Worth, TX, 76104-2122
Phone Number
817-250-4634
Fax Number
Provider Enumeration Date
09/20/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1301 Pennsylvania Ave
City
State
Zip
76104-2122
Phone Number
817-250-4634
Fax Number
person
Provider Business Mailing Address Details
Address
1301 Pennsylvania Ave
City
State
Zip
76104-2122
Phone Number
817-250-4634
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Acute Care
Taxonomy
License No.
1134077 (Texas)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Gerontology
Taxonomy
License No.
1134077 (Texas)
Definition
Definition to come...
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