Individual
AMANDA FERRELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1196 COUNTY 23 LOT 7, PHELPS, NY 14532
(585) 201-4868
Mailing address
1196 COUNTY ROAD 23 LOT 7, PHELPS, NY 14532-9775
(585) 201-4868
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
330640-1
NY
Other
Enumeration date
03/06/2020
Last updated
03/06/2020
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