Wortman, Amanda

Wortman, Amanda is an individual health care provider with primary practice located at 24276 166Th St, Airport Rd , Eagle Butte SD 57625-1012. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Wortman, Amanda can be contacted via phone (605) 964-7724.

Contact Information

Primary practice address
24276 166Th St, Airport Rd Eagle Butte SD 57625-1012
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X CP001742 South Dakota

Profile Details

NPI number 1972139095
LBN Legal business name Wortman, Amanda
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 20th, 2020
Last updated Jun 29th, 2020 - about 5 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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