Individual
AMANDA LOUISE BAINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
682 COUNTY ROAD 539, ENTERPRISE, AL 36330-7107
(334) 796-8622
Mailing address
682 COUNTY ROAD 539, ENTERPRISE, AL 36330-7107
(334) 796-8622
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F12200020
AL
Other
Enumeration date
12/01/2020
Last updated
12/01/2020
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