Individual
AMANDA BUELL
Active
Individual
AMANDA BUELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
209028474
IL
363LF0000X
Family Nurse Practitioner
Primary
F335714-1
NY
Other
Enumeration date
10/03/2008
Last updated
12/12/2023
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