Larson, Amanda Nicole

Larson, Amanda Nicole is an individual health care provider with primary practice located at 500 Center St Building 22, Wahiawa HI 96786-3007. She recently has only one registered license in Other Service Providers / Independent Duty Corpsman, which is considered as her primary health care specialty. Larson, Amanda Nicole can be contacted via phone (228) 760-0296.

Contact Information

Primary practice address
500 Center St Building 22 Wahiawa HI 96786-3007
Phone: (228) 760-0296
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Independent Duty Corpsman 1710I1002X

Profile Details

NPI number 1487955316
LBN Legal business name Larson, Amanda Nicole
Credentials IDC
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 9th, 2010
Last updated Apr 21st, 2014 - about 11 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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