Individual
AMANDA L HUMPHREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
302 W FLETCHER AVE, TAMPA, FL 33612-3415
(813) 866-0930
Mailing address
302 W FLETCHER AVE, TAMPA, FL 33612-3415
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
9435860
FL
Other
Enumeration date
06/04/2018
Last updated
12/22/2021
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