Individual provider · Type 1 NPI
Amy L. Nicholas, PA
Medical Physician Assistant · Grapevine, TX
NPI number
1811983174
Active
Practice location
1650 W Northwest Hwy Ste 200
Grapevine, TX 76051-8122
Fax (214) 948-5516
Mailing address
3139 Southlake Park Rd
Southlake, TX 76092-2501
Other practice locations
- 4000 Five Points Dr Ste 169, Arlington, TX 76018-6057 · (972) 556-6946
- 5407 Basswood Blvd Ste 113, Fort Worth, TX 76137-4499 · (972) 556-6946
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | PA03950 (TX) |
Medical Physician Assistant: Definition to come...
Other medical physician assistant providers in Grapevine
- Augustina Atsoi Albright, P.A.Medical Physician Assistant Grapevine, TX NPI 1124117262
- Jason Scott Chastain, PA-CMedical Physician Assistant Grapevine, TX NPI 1174893465
- Allison BollingerMedical Physician Assistant Grapevine, TX NPI 1184568842
- Morris Duane Allred Jr., PA-CMedical Physician Assistant Grapevine, TX NPI 1497928709
- Lauren Fitch, PA-CMedical Physician Assistant Grapevine, TX NPI 1588404834
About NPI 1811983174
Amy L. Nicholas, PA's National Provider Identifier is 1811983174, issued on Sep 22, 2005. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Grapevine, TX. The record was last updated on Aug 26, 2020.