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NPI Code Detail

MEDICARE: AMANDA DAY APRN, FNP-C

MEDICARE: AMANDA DAY 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 PractitionerA004710AR

General Provider Information

NPI Number : 1558715987
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMANDA DAY APRN, FNP-C
Provider Business Mailing Address
First Line : 6108 S 31ST ST
Second Line :
City : FORT SMITH
State : AR
Zip : 72908-7555
Country : US
Telephone Number : 479-242-9355
Fax Number : 479-242-4843
Provider Business Practice Location Address
First Line : 6108 S 31ST ST
Second Line :
City : FORT SMITH
State : AR
Zip : 72908-7555
Country : US
Telephone Number : 479-242-9355
Fax Number : 479-242-4843
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/21/2016
Last Update Date : 04/29/2024

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