Individual
AMANDA LYNNE MASCOE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
2639 CURRY LN, NOKOMIS, FL 34275-4903
(941) 244-5089
Mailing address
18316 MURDOCK CIR UNIT 108, PORT CHARLOTTE, FL 33948-1029
(941) 629-3500
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APRN11013715
FL
Other
Enumeration date
06/17/2021
Last updated
08/12/2024
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