Individual
MRS. AMANDA LYNN LABIGANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
501 NW LAKE WHITNEY PL, SUITE 106, PORT ST LUCIE, FL 34986-1615
(772) 785-8000
Mailing address
501 NW LAKE WHITNEY PL, SUITE 106, PORT ST LUCIE, FL 34986-1615
(772) 785-8000
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
ARNP9271635
FL
390200000X
Student in an Organized Health Care Education/Training Program
RN 9271635
FL
Other
Enumeration date
12/04/2015
Last updated
02/02/2017
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