MEDICARE: MRS. AMANDA SKELTON APRN FNP-BC ANVP-BC

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	363LF0000X	Family Nurse Practitioner	AP131199	TX

General Provider Information

NPI Number	:	1346692035
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. AMANDA SKELTON APRN FNP-BC ANVP-BC

Provider Business Mailing Address
First Line	:	8350 DALLAS PKWY STE 300
Second Line	:
City	:	FRISCO
State	:	TX
Zip	:	75034-5076
Country	:	US
Telephone Number	:	214-407-8580
Fax Number	:	214-407-8581

Provider Business Practice Location Address
First Line	:	8350 DALLAS PKWY STE 300
Second Line	:
City	:	FRISCO
State	:	TX
Zip	:	75034-5076
Country	:	US
Telephone Number	:	214-407-8580
Fax Number	:	214-407-8581

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

Provider Enumeration Date	:	07/06/2016
Last Update Date	:	05/21/2024

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Directions to “ MRS. AMANDA SKELTON APRN FNP-BC ANVP-BC” Practice Location

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