# AMANDA LEIGH VANCONANT

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

## Provider details

- **NPI number:** 1477114890
- **Gender:** F
- **Credential:** CNP

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163W00000X | Registered Nurse | RN.0176861 | CO | — |
| 363L00000X | Nurse Practitioner | APN.0994796-NP | CO | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | 0102053 | CO | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | CP001868 | SD | — |

## Other

- **Enumeration date:** 06/26/2019
- **Last updated:** 11/05/2024