Amy Diane Childs, BBA, MSN, RN, LNC
Individual provider Active NPI Registered Nurse · Alvin, TX
NPI 1417782822 · NPPES record last updated Sep 5, 2024
Key facts
- NPI
- 1417782822
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- 616181 (TX)
- Practice address
- 3110 Mustang Rd
Alvin, TX 77511-4807 - Phone
- (281) 756-5634
- NPI assigned
- Sep 5, 2024
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Bachelor of Business Administration, Master of Science - Nursing, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 616181 | TX | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 616181 | TX | Yes |
Addresses
Primary practice location
3110 Mustang Rd
Alvin, TX 77511-4807
Mailing address
2710 Adams St
Alvin, TX 77511-3806
Phone (281) 850-8000
Other providers in Alvin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 5, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.