Individual
AMANDA LOUANNE MILLS GANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
121 W VIRGINIA AVE, PINEVILLE, KY 40977-1661
(606) 654-2412
(606) 654-2519
Mailing address
121 W VIRGINIA AVE STE 100, PINEVILLE, KY 40977-1600
(606) 654-2412
(606) 654-2519
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3010059
KY
Other
Enumeration date
08/19/2015
Last updated
10/15/2024
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