Cook, Amanda
Cook, Amanda is an individual health care provider with primary practice located at 501 6Th Ave S , St Petersburg FL 33701-4634. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Nephrology, which is considered as her primary health care specialty. Cook, Amanda can be contacted via phone (727) 767-4181.Contact Information
Primary practice address
501 6Th Ave S
St Petersburg FL 33701-4634
Phone: (727) 767-4181
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatric Nephrology | 2080P0210X | APRN9337772 | Florida |
Profile Details
| NPI number | 1649748880 |
|---|---|
| LBN Legal business name | Cook, Amanda |
| Credentials | Advanced Practice Registered Nurse (APRN) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 6th, 2018 |
| Last updated | Oct 27th, 2020 - about 5 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1649748880 | NPPES |
| Florida | Other | VHC51 | BLUE CROSS BLUE SHIELD |
| Florida | Other | KM240 | BLUE CROSS BLUE SHIELD |
| Florida | MEDICAID | 101481400 | BLUE CROSS BLUE SHIELD |
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