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Individual

AMY PANDORF

Active
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Individual

AMY PANDORF

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP-C

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
C-APN.0000876-C-NP
CO
363LF0000X
Family Nurse Practitioner
112242
NE
363LF0000X
Family Nurse Practitioner
201709238NP-PP
OR
363LF0000X
Family Nurse Practitioner
C-APN.0000876-C-NP
CO

Other

Enumeration date
11/03/2017
Last updated
11/26/2024
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