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NPI Code Detail

MEDICARE: MRS. AMY NICOLE BIRCHFIELD R.N.C., NNP-BC

MEDICARE: MRS. AMY NICOLE BIRCHFIELD R.N.C., NNP-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
1163WN0002XNeonatal Intensive Care Registered Nurse1096576KY
2163W00000XRegistered NurseRN0000156402TN
3163WN0002XNeonatal Intensive Care Registered Nurse753590TX
4363LN0000XNeonatal Nurse Practitioner753590TX

General Provider Information

NPI Number : 1679769392
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. AMY NICOLE BIRCHFIELD R.N.C., NNP-BC
Provider Business Mailing Address
First Line : 5621 JUDY DR
Second Line :
City : MIDLOTHIAN
State : TX
Zip : 76065-6871
Country : US
Telephone Number : 859-361-3374
Fax Number :
Provider Business Practice Location Address
First Line : 1617 HEMPHILL ST
Second Line : JPS PHYSICIAN'S GROUP - NICU
City : FORT WORTH
State : TX
Zip : 76104-4709
Country : US
Telephone Number : 817-702-3381
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/17/2007
Last Update Date : 11/11/2014

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