NPI 1003045204

Amy Michelle Medalie, NP

Practitioner Pediatric Nurse Practitioner Fort Worth, TX

Practice location

Address: 4405 River Oaks Blvd, Fort Worth, TX 76114-2326
Phone: (817) 624-1770
Fax: (817) 625-1287
Mailing address: PO Box 733784, Dallas, TX 75373-3784

Registered specialties

Pediatric Nurse Practitioner Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363LP0200X Licence 6037 (CO)

Other Nurse Practitioner providers in Texas →

Registry record

NPI: 1003045204
Entity type: Individual
Sex (as registered): Female
NPI issued: 8 Jul 2009
Record last updated: 7 Apr 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.