Individual provider · Type 1 NPI
Amanda Shay Tice, ACNP
Acute Care Nurse Practitioner · Fort Worth, TX
NPI number
1740629591
Active
Practice location
1000 Houston Street, Suite 200
Fort Worth, TX 76102
Fax (817) 339-3940
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Acute Care Nurse Practitioner Primary | 363LA2100X | 703553 (TX) |
Acute Care Nurse Practitioner: Definition to come...
3 other providers at this address
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About NPI 1740629591
Amanda Shay Tice, ACNP's National Provider Identifier is 1740629591, issued on Jun 14, 2013. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Fort Worth, TX. The record was last updated on Dec 22, 2015.