Individual
AMANDA PAIGE MICHAEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ACNPC-AG
Contact information
Practice address
200 QUAIL RUN, BOONEVILLE, MS 38829-9001
(662) 554-9264
Mailing address
200 QUAIL RUN, BOONEVILLE, MS 38829-9001
(662) 554-9264
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
903435
MS
Other
Enumeration date
02/21/2020
Last updated
02/21/2020
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