Individual
AMANDA GLOVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8612 RIDGE BLVD APT 2G, BROOKLYN, NY 11209-4943
(718) 704-8726
Mailing address
8612 RIDGE BLVD APT 2G, BROOKLYN, NY 11209-4943
(718) 704-8726
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F308366-1
NY
Other
Enumeration date
10/04/2021
Last updated
10/04/2021
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