MEDICARE: AMANDA N PRICE F.N.P.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	APN7796	TN

General Provider Information

NPI Number	:	1639119753
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AMANDA N PRICE F.N.P.

Provider Business Mailing Address
First Line	:	6050 AIRLINE RD
Second Line	:	SUITE 109
City	:	ARLINGTON
State	:	TN
Zip	:	38002-4895
Country	:	US
Telephone Number	:	901-867-3367
Fax Number	:	901-867-3329

Provider Business Practice Location Address
First Line	:	6050 AIRLINE RD
Second Line	:	SUITE 109
City	:	ARLINGTON
State	:	TN
Zip	:	38002-4895
Country	:	US
Telephone Number	:	901-867-3367
Fax Number	:	901-867-3329

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/07/2006
Last Update Date	:	01/10/2024

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