Individual
MRS. AMANDA CONSTANCE WEIDMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN, FNP-C
Contact information
Practice address
1001 E BOGARD RD, WASILLA, AK 99654-7114
(907) 373-2225
(907) 376-9225
Mailing address
1001 E BOGARD RD, WASILLA, AK 99654-7114
(907) 373-2225
(907) 376-9225
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
218931
AK
363LF0000X
Family Nurse Practitioner
218931
AK
363LP2300X
Primary Care Nurse Practitioner
218931
AK
Other
Enumeration date
02/13/2024
Last updated
12/29/2025
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