Winfrey, Amanda K.

Winfrey, Amanda K. is an individual health care provider with primary practice located at 2012 S Promenade Blvd , Rogers AR 72758-9073. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Winfrey, Amanda K. can be contacted via phone (479) 616-1485.

Contact Information

Primary practice address
2012 S Promenade Blvd Rogers AR 72758-9073
Phone: (479) 616-1485
Fax: (479) 239-0536
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 1618785 Colorado
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 2006001241 Missouri
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X A003469 Arkansas

Profile Details

NPI number 1285956904
LBN Legal business name Winfrey, Amanda K.
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 22nd, 2010
Last updated Feb 27th, 2020 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1285956904 NPPES
Colorado MEDICAID 78675839

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