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Individual

AMANDA G MARSHALL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
910 KENTON STATION DR, SUITE C, MAYSVILLE, KY 41056-9613
(606) 759-0017
(606) 759-0573
Mailing address
100 E LIBERTY ST, SUITE 800, LOUISVILLE, KY 40202-1434
(606) 330-7825

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
3010756
KY
363LF0000X
Family Nurse Practitioner
Primary
3010756
KY

Other

Enumeration date
10/06/2016
Last updated
05/13/2024
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