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Individual

AMANDA RAE LEVCHUK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP-C, RN, ARNP

Contact information

Practice address
501 SE 172ND AVE, VANCOUVER, WA 98684-9542
(360) 882-2778
Mailing address
501 SE 172ND AVE, VANCOUVER, WA 98684-9542
(360) 882-2778

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN60572710
WA
363LF0000X
Family Nurse Practitioner
Primary
AP60688962
WA

Other

Enumeration date
02/04/2016
Last updated
09/30/2016
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