IndividualActive
Amanda Azubike
NPI 1043835788 · Licensed Practical Nurse · Grand Prairie, TX
Provider details
- NPI number
- 1043835788
- Entity type
- Individual
- Primary specialty
- Licensed Practical NurseNursing Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 349146 (TX)
Specialties & taxonomies
Nursing Service Providers
Practice location
4593 Mt Laurel Dr
Grand Prairie, TX 75052
Phone: (972) 480-1509
Approximate (ZIP-level) locationGet directions
Mailing address
4593 Mt Laurel Dr
Grand Prairie, TX 75052
Registry dates
- Enumerated
- 2020-06-09
- Last updated
- 2020-06-09
- Certified
- 2020-06-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.