Provider Demographics
NPI:1184920894
Name:BABERS, AMENA GUINN (FNP)
Entity type:Individual
Prefix:MS
First Name:AMENA
Middle Name:GUINN
Last Name:BABERS
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 1:7253 NORMANDY RD
Mailing Address - Street 2:
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76112-5350
Mailing Address - Country:US
Mailing Address - Phone:817-239-7390
Mailing Address - Fax:
Practice Address - Street 1:7253 NORMANDY RD
Practice Address - Street 2:
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76112-5350
Practice Address - Country:US
Practice Address - Phone:817-239-7390
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-01-28
Last Update Date:2020-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX667113163WH0500X
TX143676363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163WH0500XNursing Service ProvidersRegistered NurseHemodialysis