Lively, Amanda
Lively, Amanda is an individual health care provider with primary practice located at 377 N Fairgrounds Rd , Price UT 84501-4241. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Lively, Amanda can be contacted via phone (435) 613-2200.Contact Information
Primary practice address
377 N Fairgrounds Rd
Price UT 84501-4241
Phone: (435) 613-2200
Fax: (435) 613-2201
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | AP130221 | Texas |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 7946150-4405 | Utah |
Profile Details
| NPI number | 1982064622 |
|---|---|
| LBN Legal business name | Lively, Amanda |
| Credentials | Family Nurse Practitioner (FNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 23rd, 2016 |
| Last updated | May 17th, 2022 - about 3 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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