Individual
AMANDA R GRIECO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1131 N 35TH AVE STE 200, HOLLYWOOD, FL 33021-5403
(954) 265-6984
(954) 265-9343
Mailing address
2900 CORPORATE WAY # WAYD, MIRAMAR, FL 33025-3925
(954) 276-5603
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
11002896
FL
363LP0200X
Pediatric Nurse Practitioner
F382796-1
NY
Other
Enumeration date
01/17/2018
Last updated
03/18/2021
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