Anderson, Amanda Monique

Anderson, Amanda Monique is an individual health care provider with primary practice located at 263 River Ave Apartment 59, Patchogue NY 11772-3318. She recently has only one registered license in Nursing Service Providers / Registered Nurse, which is considered as her primary health care specialty. Anderson, Amanda Monique can be contacted via phone (914) 536-3006.

Contact Information

Primary practice address
263 River Ave Apartment 59 Patchogue NY 11772-3318
Phone: (914) 536-3006
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 666775-1 New York

Profile Details

NPI number 1386983666
LBN Legal business name Anderson, Amanda Monique
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 6th, 2013
Last updated Feb 6th, 2013 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1386983666 NPPES
New York MEDICAID 666775-1

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