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Individual

MRS. AMANDA RAE DANIELS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
ARNP, PNP-BC

Contact information

Practice address
601 5TH ST S, ST 306, ST PETERSBURG, FL 33701
(727) 767-8469
Mailing address
601 5TH ST S, ST 306, ST PETERSBURG, FL 33701
(727) 767-8469

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
ARNP9188900
FL

Other

Enumeration date
05/17/2006
Last updated
04/22/2010
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