# MRS. AMANDA PATRICIA WAKIM

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

## Provider details

- **NPI number:** 1245536408
- **Gender:** F
- **Credential:** MSN,FNP-BC

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP2300X | Primary Care Nurse Practitioner | 38366 | WV | Yes |

## Other

- **Enumeration date:** 02/07/2011
- **Last updated:** 07/13/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0063534 | — | OH |
| 01 | — | 2010009362 | ANCC CERTIFICATION NUMBER | — |
| 01 | — | 38366 | WV RN LICENSE NUMBER | — |
| 01 | — | RN.287505 | OHIO BOARD OF NURSING LICENSE NUMBER | — |