Individual
MRS. AMANDA KAYE BICKFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
632 BROADWAY PH, NEW YORK, NY 10012-2614
(800) 731-4254
Mailing address
906 ROBERTS DR, MONTICELLO, AR 71655-5724
(870) 367-6867
(870) 367-1461
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
A03500
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
187720758
—
AR
Enumeration date
03/14/2011
Last updated
10/10/2022
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