Individual
MRS. AMANDA DAWN CLOUGHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
301 JENNICK DR, COLONIAL HEIGHTS, VA 23834-4904
(804) 524-0055
Mailing address
15700 RIVER RD, CHESTERFIELD, VA 23838-2029
(804) 720-2585
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024177278
VA
Other
Enumeration date
03/06/2019
Last updated
03/06/2019
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