Individual
AMANDA MCCORMICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
902 S 6TH ST, COUNCIL BLUFFS, IA 51501-6441
(712) 325-1990
Mailing address
902 S 6TH ST, COUNCIL BLUFFS, IA 51501-6441
(712) 325-1990
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
G162141
IA
Other
Enumeration date
02/05/2021
Last updated
02/05/2021
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