Ice, Amy M

Ice, Amy M is an individual health care provider with primary practice located at 4519 N Garfield St Suite 15, Midland TX 79705-3415. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Ice, Amy M can be contacted via phone (432) 520-0291.

Contact Information

Primary practice address
4519 N Garfield St Suite 15 Midland TX 79705-3415
Phone: (432) 520-0291
Fax: (432) 520-2723
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 648252 Texas

Profile Details

NPI number 1346227576
LBN Legal business name Ice, Amy M
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 29th, 2005
Last updated Feb 27th, 2013 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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