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Individual

AMANDA THACKER MIKOLAY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DNP, FNP-C

Contact information

Practice address
201 LEW DEWITT BLVD STE A, WAYNESBORO, VA 22980-1663
(540) 245-7940
Mailing address
PO BOX 388, FISHERSVILLE, VA 22939-0388

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
0001281227
VA
363LF0000X
Family Nurse Practitioner
Primary
0024189370
VA

Other

Enumeration date
12/20/2023
Last updated
03/19/2024
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