Individual
MRS. AMANDA LOUISE AGUILAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
4401 UNION ST, JOHNSTOWN, CO 80534-2800
(970) 619-3400
Mailing address
3337 CORVINA CT, EVANS, CO 80634-8968
(970) 596-3047
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
184144
CO
363LF0000X
Family Nurse Practitioner
Primary
0991296
CO
Other
Enumeration date
01/16/2015
Last updated
05/29/2015
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