Connan, Amanda Gray
Connan, Amanda Gray is an individual health care provider with primary practice located at 8725 N Wickham Rd Suite 302, Melbourne FL 32940-2239. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Connan, Amanda Gray can be contacted via phone (321) 434-9230.Contact Information
Primary practice address
8725 N Wickham Rd Suite 302
Melbourne FL 32940-2239
Phone: (321) 434-9230
Fax: (321) 434-9231
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 005133 | Georgia |
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA9106972 | Florida |
Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | PA9106972 | Florida |
Profile Details
NPI number | 1851584593 |
---|---|
LBN Legal business name | Connan, Amanda Gray |
Credentials | Physician's Assistant Certified (PA-C) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 27th, 2007 |
Last updated | Nov 29th, 2012 - about 12 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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