Individual
MRS. AMANDA B TENHULZEN
Active
Individual
MRS. AMANDA B TENHULZEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP-C
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F304140
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02659483
—
NY
Enumeration date
07/12/2005
Last updated
08/30/2012
Update your record
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