Waddell, Amanda

Waddell, Amanda is an individual health care provider with primary practice located at 104 S Front Ave , Prestonsburg KY 41653-1614. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Waddell, Amanda can be contacted via phone (606) 886-8572.

Contact Information

Primary practice address
104 S Front Ave Prestonsburg KY 41653-1614
Phone: (606) 886-8572
Fax: (606) 886-4433
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 3003330 Kentucky

Profile Details

NPI number 1306943931
LBN Legal business name Waddell, Amanda
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 17th, 2006
Last updated Oct 10th, 2016 - about 8 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 1306943931 NPPES
Kentucky Other 3003330 STATE NP LICENSE
Kentucky MEDICAID 78004652 STATE NP LICENSE
Kentucky Other 000000236830 STATE NP LICENSE

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