Marshall, Amanda Rae
Marshall, Amanda Rae is an individual health care provider with primary practice located at 1 Medical Park Blvd , Bristol TN 37620-7453. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Nursing Service Providers / Emergency, Physician Assistants & Advanced Practice Nursing Providers / Critical Care Medicine. Physician Assistants & Advanced Practice Nursing Providers / Critical Care Medicine is her primary health care specialty. Marshall, Amanda Rae can be contacted via phone (423) 844-1121.Contact Information
Primary practice address
1 Medical Park Blvd
Bristol TN 37620-7453
Phone: (423) 844-1121
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 28250 | Tennessee |
Nursing Service Providers / Emergency | 163WE0003X | 203805 | Tennessee |
Physician Assistants & Advanced Practice Nursing Providers / Critical Care Medicine | 363LC0200X | 28250 | Tennessee |
Profile Details
NPI number | 1225640980 |
---|---|
LBN Legal business name | Marshall, Amanda Rae |
Credentials | Nurse Practitioner (NP) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 23rd, 2020 |
Last updated | Jul 14th, 2021 - about 4 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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