Individual
AMANDA WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4000 UNIVERSITY AVE, WATERLOO, IA 50701-5656
(319) 235-1230
Mailing address
4000 UNIVERSITY AVE, WATERLOO, IA 50701-5656
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
P48853
IA
Other
Enumeration date
11/14/2025
Last updated
11/14/2025
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