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NPI Code Detail

MEDICARE: MRS. AMY ANN ADLER RN

MEDICARE: MRS. AMY ANN ADLER RN
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
1163W00000XRegistered Nurse944223TX

General Provider Information

NPI Number : 1174001267
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. AMY ANN ADLER RN
Provider Business Mailing Address
First Line : 10132 LONG RIFLE DR
Second Line :
City : FORT WORTH
State : TX
Zip : 76108-4155
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 10132 LONG RIFLE DR
Second Line :
City : FORT WORTH
State : TX
Zip : 76108-4155
Country : US
Telephone Number : 817-212-9577
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/01/2018
Last Update Date : 08/01/2018

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Directions to “ MRS. AMY ANN ADLER RN” Practice Location

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