Kidd, Amanda Lusk
Kidd, Amanda Lusk is an individual health care provider with primary practice located at 1906 Belleview Ave Se , Roanoke VA 24014-1838. She recently has 4 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Acute Care, Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Gerontology. Physician Assistants & Advanced Practice Nursing Providers / Acute Care is her primary health care specialty. Kidd, Amanda Lusk can be contacted via phone (540) 981-7000.Contact Information
Primary practice address
1906 Belleview Ave Se
Roanoke VA 24014-1838
Phone: (540) 981-7000
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Nursing Service Providers / Registered Nurse | 163W00000X | 0001199884 | Virginia |
Physician Assistants & Advanced Practice Nursing Providers / Acute Care | 363LA2100X | 0024172026 | Virginia |
Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 363LA2200X | 0024172026 | Virginia |
Physician Assistants & Advanced Practice Nursing Providers / Gerontology | 363LG0600X | 0024172026 | Virginia |
Profile Details
NPI number | 1093113490 |
---|---|
LBN Legal business name | Kidd, Amanda Lusk |
Credentials | ACNP-AG |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Dec 17th, 2014 |
Last updated | Dec 17th, 2014 - about 10 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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