Individual
MS. AMANDA LEE BERNATCHY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
RN2307824
MA
363LF0000X
Family Nurse Practitioner
Primary
RN2307824
MA
Other
Enumeration date
11/08/2021
Last updated
02/15/2024
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