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Individual

AMANDA L. DICKERSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
4475 S EASTERN AVE, LAS VEGAS, NV 89119
(702) 877-5199
Mailing address
PO BOX 35380, LAS VEGAS, NV 89133-5380
(702) 877-5199

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
4426-33
WI
363LF0000X
Family Nurse Practitioner
Primary
813074
NV

Other

Enumeration date
06/27/2011
Last updated
11/08/2018
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