Provider Demographics
NPI:1538785563
Name:PRITCHETT, AMI FRANCIS (RN)
Entity type:Individual
Prefix:MRS
First Name:AMI
Middle Name:FRANCIS
Last Name:PRITCHETT
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2051 W CUMBERLAND RD APT 520
Mailing Address - Street 2:
Mailing Address - City:TYLER
Mailing Address - State:TX
Mailing Address - Zip Code:75703-7817
Mailing Address - Country:US
Mailing Address - Phone:903-340-6459
Mailing Address - Fax:
Practice Address - Street 1:2051 W CUMBERLAND RD APT 520
Practice Address - Street 2:
Practice Address - City:TYLER
Practice Address - State:TX
Practice Address - Zip Code:75703-7817
Practice Address - Country:US
Practice Address - Phone:903-340-6459
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-06-25
Last Update Date:2020-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX967204163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse