# AMANDA SUE BOARDMAN

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

## Provider details

- **NPI number:** 1902141286
- **Gender:** F
- **Credential:** ACNP-BC, RN, CCRN

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LA2100X | Acute Care Nurse Practitioner | 111437 | NE | Yes |
| 363LA2100X | Acute Care Nurse Practitioner | 264910 | NC | — |
| 363LA2100X | Acute Care Nurse Practitioner | 5006589 | NC | — |
| 363LA2100X | Acute Care Nurse Practitioner | L155074 | IA | — |

## Other

- **Enumeration date:** 11/28/2012
- **Last updated:** 08/02/2019