Individual
AMANDA GAIL IMPELLUSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
3802 RAYNOR PKWY STE 202, BELLEVUE, NE 68123-2528
(531) 366-1204
Mailing address
3802 RAYNOR PKWY STE 202, BELLEVUE, NE 68123-2528
(531) 366-1204
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
112819
NE
363LF0000X
Family Nurse Practitioner
A128130
IA
Other
Enumeration date
09/10/2019
Last updated
04/03/2026
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