Individual
AMANDA LAUREL ST. JOHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, AGPCNP-C
Contact information
Practice address
52 UNDERWOOD ST, ORLANDO, FL 32806-1110
(321) 842-2237
Mailing address
52 UNDERWOOD ST, ORLANDO, FL 32806-1110
(321) 842-2237
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
9322374
FL
363L00000X
Nurse Practitioner
11004407
FL
363LA2200X
Adult Health Nurse Practitioner
Primary
APRN11004407
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
112416100
—
FL
Enumeration date
09/05/2019
Last updated
09/19/2024
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