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NPI Code Detail

MEDICARE: MRS. AMANDA TILTON APRN

MEDICARE:  MRS. AMANDA  TILTON  APRN
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
1363L00000XNurse Practitioner11044323FL

General Provider Information

NPI Number : 1306788377
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. AMANDA TILTON APRN
Provider Business Mailing Address
First Line : 1324 LAKELAND HILLS BLVD
Second Line :
City : LAKELAND
State : FL
Zip : 33805-4543
Country : US
Telephone Number : 863-687-1100
Fax Number :
Provider Business Practice Location Address
First Line : 1324 LAKELAND HILLS BLVD
Second Line :
City : LAKELAND
State : FL
Zip : 33805-4543
Country : US
Telephone Number : 863-687-1100
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/08/2026
Last Update Date : 04/08/2026

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Directions to “ MRS. AMANDA TILTON APRN” Practice Location

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