King, Amy P

King, Amy P is an individual health care provider with primary practice located at 2790 Godwin Blvd Ste 360 , Suffolk VA 23434-8153. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Women's Health, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. King, Amy P can be contacted via phone (757) 539-3911.

Contact Information

Primary practice address
2790 Godwin Blvd Ste 360 Suffolk VA 23434-8153
Phone: (757) 539-3911
Fax: (757) 925-0615
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Women's Health 363LW0102X 0024167201 Virginia
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 0024167201 Virginia

Profile Details

NPI number 1346442472
LBN Legal business name King, Amy P
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 1st, 2007
Last updated Jan 22nd, 2018 - about 6 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 1346442472 NPPES
Virginia MEDICAID 1821133174
Virginia Other 0024167201
Virginia MEDICAID 790259H

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