Individual
MRS. AMANDA FARRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4211 VAN DYKE RD, LUTZ, FL 33558-8005
(813) 443-7000
Mailing address
10135 KINGSBRIDGE AVE, TAMPA, FL 33626-1828
(813) 842-0427
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
11024546
FL
Other
Enumeration date
01/20/2023
Last updated
02/10/2023
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