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Individual
AMANDA ROSE BLEDSOE
Active
Individual
AMANDA ROSE BLEDSOE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
53726
ID
363LP2300X
Primary Care Nurse Practitioner
Primary
NP-53726
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
202002437RN
RN LICENSE
OR
01
—
53726
NURSING LICENSE
ID
Enumeration date
11/13/2021
Last updated
03/14/2024
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