Individual
MS. AMANDA KAYE HOLDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
7856 WESTSIDE PARK DR, STE C, MOBILE, AL 36695-8541
(251) 633-8090
(251) 633-8864
Mailing address
7856 WESTSIDE PARK DR, STE C, MOBILE, AL 36695-8541
(251) 633-8090
(251) 633-8864
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
152140
MO
163W00000X
Registered Nurse
R881325
MS
163WI0500X
Infusion Therapy Registered Nurse
152140
MO
163WI0500X
Infusion Therapy Registered Nurse
R881325
MS
Other
Enumeration date
08/31/2009
Last updated
08/31/2009
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