Individual
AMANDA K. WINFREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
2012 S PROMENADE BLVD, ROGERS, AR 72758-9073
(479) 616-1485
(479) 239-0536
Mailing address
2012 S PROMENADE BLVD, ROGERS, AR 72758-9073
(479) 616-1485
(479) 239-0536
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
1618785
CO
363LF0000X
Family Nurse Practitioner
2006001241
MO
363LF0000X
Family Nurse Practitioner
Primary
A003469
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
78675839
—
CO
Enumeration date
02/22/2010
Last updated
02/27/2020
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