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Individual

MRS. AMANDA MCINTIRE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP-C

Contact information

Practice address
1333 W 5TH ST STE 103, SHERIDAN, WY 82801-2752
(307) 675-4610
(307) 675-4615
Mailing address
1333 W 5TH ST STE 110, SHERIDAN, WY 82801-2752
(307) 675-4610
(307) 675-4615

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
27079.1330
WY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
138296900
WY
Enumeration date
08/04/2014
Last updated
10/20/2025
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