Individual
MS. AMANDA DEAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1309 BRIDGEVILLE HWY, SEAFORD, DE 19973-1616
(302) 629-2300
(302) 629-2305
Mailing address
1309 BRIDGEVILLE HWY, SEAFORD, DE 19973-1616
(302) 629-2300
(302) 629-2305
Taxonomy
Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
1510320
DE
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
Primary
L1-0067021
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
250502531
—
DE
Enumeration date
03/24/2021
Last updated
07/15/2021
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