Individual
DR. AMANDA ROSE PEREZ
Active
Individual
DR. AMANDA ROSE PEREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, FNP-C
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
143705
CT
207N00000X
Dermatology Physician
Primary
12617
CT
363LF0000X
Family Nurse Practitioner
Primary
12617
CT
Other
Enumeration date
01/27/2023
Last updated
05/07/2026
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