Individual
AMANDA JOANNE YANSKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
821 E BROADWAY AVE STE 1, MOSES LAKE, WA 98837
(509) 350-4785
Mailing address
2488 ROAD Q NE, MOSES LAKE, WA 98837-8605
(651) 353-1679
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
4704323149
MI
363L00000X
Nurse Practitioner
Primary
AP61115907
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2167959
—
WA
Enumeration date
10/20/2020
Last updated
01/06/2025
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