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NPI Code Detail

MEDICARE: AMANDA LYNN POCHEDLY MSN, APRN, FNP-C

MEDICARE: AMANDA LYNN POCHEDLY MSN, APRN, FNP-C
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
1363LF0000XFamily Nurse PractitionerAPRN97681WV
2363LF0000XFamily Nurse PractitionerSP029654PA

General Provider Information

NPI Number : 1053825042
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMANDA LYNN POCHEDLY MSN, APRN, FNP-C
Provider Business Mailing Address
First Line : 706 OAKMOUND RD
Second Line :
City : CLARKSBURG
State : WV
Zip : 26301-9398
Country : US
Telephone Number : 304-622-7511
Fax Number :
Provider Business Practice Location Address
First Line : 706 OAKMOUND RD
Second Line :
City : CLARKSBURG
State : WV
Zip : 26301-9398
Country : US
Telephone Number : 304-622-7511
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/29/2017
Last Update Date : 02/09/2026

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