Individual
AMANDA LEE IVOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, FNP-BC
Contact information
Practice address
333A ROUTE 46 W STE 135, FAIRFIELD, NJ 07004-2463
(973) 943-4300
(973) 227-3335
Mailing address
333A ROUTE 46 W STE 135, FAIRFIELD, NJ 07004-2463
(973) 943-4300
(973) 227-3335
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
26NJ15363900
NJ
Other
Enumeration date
07/24/2025
Last updated
06/08/2026
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