Individual
MISS AMANDA BAKER SUMMERFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP-BC
Contact information
Practice address
101 SIVLEY RD SW, HUNTSVILLE, AL 35801
(256) 533-3388
(256) 801-6905
Mailing address
930 FRANKLIN ST SE, HUNTSVILLE, AL 35801-4312
(256) 533-3388
(256) 801-6905
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
1-143291
AL
363LA2100X
Acute Care Nurse Practitioner
Primary
2017033836
MO
Other
Enumeration date
09/19/2017
Last updated
07/02/2018
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