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Individual

MRS. AMANDA L CREEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
4 COMMERCE LN, CANTON, NY 13617-3739
(315) 386-8191
(315) 386-1410
Mailing address
4 COMMERCE LN, CANTON, NY 13617-3739
(315) 386-8191
(315) 386-1410

Taxonomy

Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
551870
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
402158
NY

Other

Enumeration date
05/24/2017
Last updated
12/09/2025
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