Individual
AMANDA WHISNANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
4570 LYONS RD STE 110, COCONUT CREEK, FL 33073-3481
(954) 971-3210
(954) 971-3427
Mailing address
PO BOX 2429, COPPELL, TX 75019-8429
(972) 420-1475
(469) 671-5437
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
2674
SC
363LP0200X
Pediatric Nurse Practitioner
Primary
APRN9272409
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100564800
—
FL
Enumeration date
04/23/2007
Last updated
10/30/2018
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