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Individual

AMANDA NICOLE COON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
1101 SAM PERRY BLVD STE 400, FREDERICKSBURG, VA 22401-4466
(540) 741-2865
Mailing address
6900 RIDGE WAY DR, FREDERICKSBURG, VA 22407-6276
(804) 205-0510

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
0024194730
VA
2086S0129X
Vascular Surgery Physician
Primary
0024194730
VA

Other

Enumeration date
09/18/2025
Last updated
09/18/2025
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