# AMANDA HIESTAND

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1215398862
- **Gender:** F
- **Credential:** APN

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | APRN11007579 | FL | Yes |
| 363LF0000X | Family Nurse Practitioner | 209014032 | IL | — |

## Other

- **Enumeration date:** 03/10/2016
- **Last updated:** 12/14/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 108731900 | — | FL |
| 01 | — | NC075 | MEDICARE HF | FL |