Individual
AMANDA LEE COYLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
301 RIVERVIEW AVE STE 930, NORFOLK, VA 23510-1068
(757) 252-3236
Mailing address
301 RIVERVIEW AVE STE 930, NORFOLK, VA 23510-1068
(757) 252-3236
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
0024180190
VA
363LF0000X
Family Nurse Practitioner
Primary
0024180190
VA
363LF0000X
Family Nurse Practitioner
335000
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MC1460031
OTHER
MD
Enumeration date
08/29/2006
Last updated
10/27/2023
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