Healthcare Provider Details

I. General information

NPI: 1669889176
Provider Name (Legal Business Name): AMANDA SZYMANSKI ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/16/2014
Last Update Date: 01/16/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8200 S JOG RD SUITE 203
BOYNTON BEACH FL
33472-2981
US

IV. Provider business mailing address

8200 S JOG RD SUITE 203
BOYNTON BEACH FL
33472-2981
US

V. Phone/Fax

Practice location:
  • Phone: 561-327-4960
  • Fax: 561-738-1822
Mailing address:
  • Phone: 561-327-4960
  • Fax: 561-738-1822

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code364SP0200X
TaxonomyPediatric Clinical Nurse Specialist
License NumberARNP9282122
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: