Individual
AMANDA MICHELLE SANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, FNP-C
Contact information
Practice address
4610 KANAWHA AVE SW STE 401, SOUTH CHARLESTON, WV 25309-1367
(304) 768-7368
(304) 768-1829
Mailing address
4605 MACCORKLE AVE SW, SOUTH CHARLESTON, WV 25309-1311
(304) 414-4800
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APRN72002-NP-C
WV
Other
Enumeration date
10/15/2016
Last updated
12/30/2021
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