Wilson, Amanda
Wilson, Amanda is an sole proprietor health care provider with primary practice located at 229 N Block Ave , Fayetteville AR 72701-5204. She recently has 2 registered licenses in different health care specialties including Dietary & Nutritional Service Providers / Nutrition, Education, Nursing Service Providers / Nutrition Support. Nursing Service Providers / Nutrition Support is her primary health care specialty. Wilson, Amanda can be contacted via phone (479) 200-2749.Contact Information
Primary practice address
229 N Block Ave
Fayetteville AR 72701-5204
Phone: (479) 200-2749
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dietary & Nutritional Service Providers / Nutrition, Education | 133NN1002X | ||
Nursing Service Providers / Nutrition Support | 163WN1003X | R090453 | Arkansas |
Profile Details
NPI number | 1962246207 |
---|---|
LBN Legal business name | Wilson, Amanda |
Credentials | Registered Nurse (RN) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jun 21st, 2024 |
Last updated | Jun 21st, 2024 - about 3 months 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.
Popular Providers
-
Jessing, Tena Louise
330 Federal Way , Pine Knot KY 42635-7000 -
Bray, Martha L
630 Shepard Ln , Farmington UT 84025-3934 -
Newton, Madison M
4963 W Tumbleweed St , Fayetteville AR 72704-7645 -
Mcginnis, Carol Marie
1305 W 18Th St , Sioux Falls SD 57105-0401 -
Maddox, Dretona Tenese
1410 3Rd St Suite 2, Riverside CA 92507-3482 -
Young, Susan Mary
9263 Dee Rd , Des Plaines IL 60016-4227 -
Nordstrom, Susan M.
67 Dutch Hollow Dr , Orangeburg NY 10962 -
Fiamingo, Mary Ann
750 S Bascom Ave Diabetes Ed, San Jose CA 95128-2603