Individual
AMANDA M DEL BOSQUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1007 N COUNTRY CLUB RD, ADA, OK 74820-2847
(580) 310-9510
(580) 272-1094
Mailing address
530 N MONTE VISTA ST STE A, ADA, OK 74820-4675
(580) 310-9510
(580) 436-4447
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
0114118
OK
363LF0000X
Family Nurse Practitioner
Primary
R0114118
OK
Other
Enumeration date
02/03/2020
Last updated
01/06/2025
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