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Individual

AMANDA DAWN MANNING

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSN, APRN, FNP BC-C

Contact information

Practice address
2900 SE MOBERLY LN, BENTONVILLE, AR 72712
(479) 273-1550
Mailing address
2900 SE MOBERLY LN, BENTONVILLE, AR 72712-3748
(479) 273-1550

Taxonomy

Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
R065088
AR
363LF0000X
Family Nurse Practitioner
Primary
A005672
AR

Other

Enumeration date
06/01/2018
Last updated
07/18/2018
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