Individual
MS. AMANDA FAITH JUDICE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BSN, RN, IBCLC
Contact information
Practice address
146 WINDERMERE CIR, YOUNGSVILLE, LA 70592-5633
(225) 281-6315
Mailing address
PO BOX 69, YOUNGSVILLE, LA 70592-0069
(225) 281-6315
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN119297
LA
163WL0100X
Lactation Consultant (Registered Nurse)
L-11025
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0
N/A
—
Enumeration date
02/26/2021
Last updated
02/26/2021
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