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Individual
AMANDA CASTELLOW
Active
Individual
AMANDA CASTELLOW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
1-143545
AL
363LG0600X
Gerontology Nurse Practitioner
RN302200
GA
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
1-143545
AL
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
RN302200
GA
Other
Enumeration date
01/26/2017
Last updated
08/02/2021
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