Individual
AMANDA M ODE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
100 COLLEGE PKWY STE 260, WILLIAMSVILLE, NY 14221-6800
(716) 635-0688
(716) 204-9574
Mailing address
100 COLLEGE PKWY STE 260, WILLIAMSVILLE, NY 14221-6800
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
F342477-1
NY
363LF0000X
Family Nurse Practitioner
F342477-1
NY
Other
Enumeration date
02/05/2018
Last updated
03/11/2026
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