Individual
AMANDA ALONSO HABER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN, FNP-C
Contact information
Practice address
1209 MAIN ST STE 104, JUPITER, FL 33458-5244
(561) 316-4580
Mailing address
914 SW MCCRACKEN AVE, PORT SAINT LUCIE, FL 34953-3621
(561) 714-6041
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
RN9516945
FL
363LF0000X
Family Nurse Practitioner
Primary
11034233
FL
Other
Enumeration date
04/16/2024
Last updated
09/14/2024
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