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Individual

AMANDA HANSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
2938 HIGHWAY 18 W, FAYETTE, AL 35555-6007
(205) 435-4453
Mailing address
2938 HIGHWAY 18 W, FAYETTE, AL 35555-6007
(205) 435-4453

Taxonomy

Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
903597
MS

Other

Enumeration date
10/18/2019
Last updated
10/18/2019
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