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Individual

AMANDA PETER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PMHNP-BC

Contact information

Practice address
7721 N MILITARY TRL STE 3-5, WEST PALM BEACH, FL 33410-7429
(954) 731-5100
Mailing address
4740 N STATE ROAD 7 STE 201, LAUDERDALE LAKES, FL 33319-5839
(954) 486-4005

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
APRN11022074
FL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN11022074
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
APRN11022074
STATE LICENSE
FL
Enumeration date
09/27/2022
Last updated
09/12/2024
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