Individual provider · Type 1 NPI

Amy Michelle Medalie, NP

Pediatric Nurse Practitioner · Fort Worth, TX

NPI number 1003045204 Active

Practice location

4405 River Oaks Blvd
Fort Worth, TX 76114-2326

Call (817) 624-1770 Map

Fax (817) 625-1287

Mailing address

PO Box 733784
Dallas, TX 75373-3784

Other practice locations

  • 255 Union Blvd Ste 120, Lakewood, CO 80228-1833 · (303) 936-7415

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner Primary 363LP0200X6037 (CO)

Pediatric Nurse Practitioner: Definition to come...

20 other providers at this address

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About NPI 1003045204

Amy Michelle Medalie, NP's National Provider Identifier is 1003045204, issued on Jul 8, 2009. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Fort Worth, TX. The record was last updated on Apr 7, 2021.