Amanda B Imming CRNP

NPI 1013986215 - Nurse Practitioner - 363L00000X

NPI Details
NPI 1013986215
Gender Female
Enumeration Date 03/17/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
1901 MELBA DRIVE
DOTHAN AL, 36301, US
Phone (334) 794-6611
Fax (334) 794-6614
Business Location
1901 MELBA DRIVE
DOTHAN AL, 36301, US
Phone (334) 794-6611
Fax (334) 794-6614
Toxanomy
Taxonomy Code 363L00000X
License State Alabama
License Number 1102096
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According to our database, Amanda B Imming CRNP NPI is 1013986215, taxonomy code is 363L00000X and license number is 1102096, license state is located at Alabama. Amanda B Imming CRNP physically located at 1901 Melba Drive, Dothan AL, 36301. NPI Number Amanda B Imming CRNP has the Individual type.

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1013986215 NPI number is provided on an as is basis without warranty of any kind. 1013986215 is maintained by the National Plan & Provider Enumeration System. The contents of Amanda B Imming CRNP are for informational purposes only.