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MRS. AMANDA MARIE ANDERSON APRN

Family >> Nurse Practitioner >> Physician Assistants & Advanced Practice Nursing Providers

Registrant NPI Number: 1669141149

Individual Registrant:
MRS. AMANDA MARIE ANDERSON APRN
Gender: F
Sole Proprietor

Location and contact information for practice:
50 2ND ST SE  WINTER HAVEN, FL 33880-6300 US
Tel: 863-293-2107  Fax: --

Contact information for business:
50 2ND ST SE  WINTER HAVEN, FL 33880-6300 US
Tel: 863-293-2107  Fax: --

Registration Information:
NPI: 1669141149
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y363LF0000XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
Family
FL11015274

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




HEALTH CARE JOBS FL - Page 1



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