Individual
AMANDA WARDWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
4735 OGLETOWN STANTON RD STE 1208, NEWARK, DE 19713-2089
(302) 623-4055
(302) 623-4056
Mailing address
4735 OGLETOWN STANTON RD STE 1208, NEWARK, DE 19713-2089
(302) 623-4055
(302) 623-4056
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
L1-0032088
DE
363L00000X
Nurse Practitioner
Primary
LH-0000174
DE
363L00000X
Nurse Practitioner
SP020110
PA
Other
Enumeration date
06/26/2006
Last updated
09/12/2019
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