NPI 1003060617

Amanda K Stockman, RN

Practitioner Registered Nurse Fort Worth, TX

Practice location

Address: 1709 Grassy View Dr, Fort Worth, TX 76177-7555
Phone: (817) 808-5876

Registered specialties

Registered Nurse Primary

Nursing Service Providers Taxonomy 163W00000X Licence 738453 (TX)

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Registry record

NPI: 1003060617
Entity type: Individual
Sex (as registered): Female
NPI issued: 10 Nov 2008
Record last updated: 10 Nov 2008

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.