Imming, Amanda B

Imming, Amanda B is an individual health care provider with primary practice located at 1901 Melba Drive , Dothan AL 36301. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Imming, Amanda B can be contacted via phone (334) 794-6611.

Contact Information

Primary practice address
1901 Melba Drive Dothan AL 36301
Phone: (334) 794-6611
Fax: (334) 794-6614
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 1102096 Alabama

Profile Details

NPI number 1013986215
LBN Legal business name Imming, Amanda B
Credentials CRNP
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 17th, 2006
Last updated Jul 8th, 2007 - about 18 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 1013986215 NPPES
Alabama Other 51526538 BLUE CROSS AND BLUE SHIEL
Alabama Other P00210640 BLUE CROSS AND BLUE SHIEL

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