Individual
AMANDA MCCANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
1751 VETERANS DR STE 200, FLORENCE, AL 35630-4930
(256) 766-2118
Mailing address
1751 VETERANS DR STE 200, FLORENCE, AL 35630-4930
(256) 766-2118
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1-108684
AL
363LF0000X
Family Nurse Practitioner
1-108684
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1326373861
SHOALS PRIMARY CARE, LLC
AL
Enumeration date
12/19/2014
Last updated
08/28/2023
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