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Individual

AMANDA DILLEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1906 BELLEVIEW AVE SE, ROANOKE, VA 24014-1838
(540) 853-0222
Mailing address
213 S JEFFERSON ST STE 1006, ROANOKE, VA 24011-1713
(540) 224-5352

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
0024180813
VA
367500000X
Certified Registered Nurse Anesthetist
88230
WV
367500000X
Certified Registered Nurse Anesthetist
RN626424
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1316335300
WV
Enumeration date
12/30/2014
Last updated
05/11/2026
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