Individual provider · Type 1 NPI

Amanda Raye Juarez, CPNP-PC

Primary Care Nurse Practitioner · Fort Worth, TX

NPI number 1104430651 Active

Practice location

1500 Cooper St
Fort Worth, TX 76104-2710

Call (682) 885-1990 Map

Mailing address

PO Box 733784
Dallas, TX 75373-3784

Specialties and licenses

Taxonomy	Code	License
Primary Care Nurse Practitioner Primary	363LP2300X	1011770 (TX)

Primary Care Nurse Practitioner: Definition to come...

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About NPI 1104430651

Amanda Raye Juarez, CPNP-PC's National Provider Identifier is 1104430651, issued on Sep 2, 2020. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Fort Worth, TX. The record was last updated on Apr 13, 2021.