Amanda Michelle Northern NP-C

NPI 1780081018 - Nurse Practitioner - 363L00000X

NPI Details
NPI 1780081018
Gender Female
Enumeration Date 12/02/2014
Last Updated 12/02/2014
Entity Type Individual
Active Over 2 years ago
Practice Location
3600 HIGH ST
PORTSMOUTH VA, 23707-3236, US
Phone (757) 215-3100
Fax (757) 398-9263
Business Location
3600 HIGH ST
PORTSMOUTH VA, 23707-3236, US
Phone (757) 215-3100
Fax (757) 398-9263
Toxanomy
Taxonomy Code 363L00000X
License State Virginia
License Number 0024172143
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According to our database, Mrs. Amanda Michelle Northern NP-C NPI is 1780081018, taxonomy code is 363L00000X and license number is 0024172143, license state is located at Virginia. Amanda Michelle Northern NP-C physically located at 3600 High St, Portsmouth VA, 23707-3236. NPI Number Amanda Michelle Northern NP-C has the Individual type.

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1780081018 NPI number is provided on an as is basis without warranty of any kind. 1780081018 is maintained by the National Plan & Provider Enumeration System. The contents of Amanda Michelle Northern NP-C are for informational purposes only.