MEDICARE: MS. AMENA GUINN BABERS FNP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163WH0500X	Hemodialysis Registered Nurse	667113	TX
2	363LF0000X	Family Nurse Practitioner	143676	TX

General Provider Information

NPI Number	:	1184920894
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. AMENA GUINN BABERS FNP

Provider Business Mailing Address
First Line	:	7253 NORMANDY RD
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76112-5350
Country	:	US
Telephone Number	:	817-239-7390
Fax Number	:

Provider Business Practice Location Address
First Line	:	7253 NORMANDY RD
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76112-5350
Country	:	US
Telephone Number	:	817-239-7390
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/28/2011
Last Update Date	:	02/05/2020

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