Individual
MRS. AMANDA MARIE MACDONNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN-C
Contact information
Practice address
750 N RIDGE RD, CASTLE ROCK, CO 80104-8950
(303) 658-9817
Mailing address
4761 S FLAT ROCK CT, AURORA, CO 80016-5833
(303) 889-9996
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
5268
CO
Other
Enumeration date
06/27/2007
Last updated
02/22/2012
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