# MRS. AMANDA DIERKING BLISS

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1225201288
- **Gender:** F
- **Credential:** MSN, RN, APRN

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163W00000X | Registered Nurse | 1120706 | KY | — |
| 363LF0000X | Family Nurse Practitioner | 3006098 | KY | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | 3006098 | KY | Yes |

## Other

- **Enumeration date:** 04/10/2008
- **Last updated:** 10/08/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | P00976196 | RAILROAD MEDICARE | KY |