Individual
AMANDA A DALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
403 SPRING CREEK RD, CHATTANOOGA, TN 37411-4922
(423) 855-6868
(423) 855-6896
Mailing address
403 SPRING CREEK RD, CHATTANOOGA, TN 37411-4922
(423) 855-6868
(423) 855-6896
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
13666
TN
363LP2300X
Primary Care Nurse Practitioner
RN188679
GA
Other
Enumeration date
08/06/2008
Last updated
10/09/2014
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