Provider Demographics
NPI:1598767923
Name:DARLING, AMANDA (FNP)
Entity Type:Individual
Prefix:
First Name:AMANDA
Middle Name:
Last Name:DARLING
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:813 E. 4TH STREET
Mailing Address - Street 2:
Mailing Address - City:MONAHANS
Mailing Address - State:TX
Mailing Address - Zip Code:79756
Mailing Address - Country:US
Mailing Address - Phone:432-943-2068
Mailing Address - Fax:432-943-9415
Practice Address - Street 1:406 S GARY AVE
Practice Address - Street 2:
Practice Address - City:MONAHANS
Practice Address - State:TX
Practice Address - Zip Code:79756-4799
Practice Address - Country:US
Practice Address - Phone:432-943-2511
Practice Address - Fax:432-943-3114
Is Sole Proprietor?:No
Enumeration Date:2005-08-15
Last Update Date:2016-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX585038363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX159648803Medicaid
TX8D1188Medicare ID - Type Unspecified
TX159648803Medicaid