Individual
MRS. AMANDA MARIE DICKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
21785 FILIGREE CT STE 100, ASHBURN, VA 20147-6214
(703) 554-1100
Mailing address
57 WALTER ST, BANGOR, ME 04401-6233
(207) 299-0754
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024172188
VA
363LF0000X
Family Nurse Practitioner
NP95001802
CA
Other
Enumeration date
01/22/2015
Last updated
11/27/2023
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