Individual
MS. AMANDA HURLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, PA-C
Contact information
Practice address
24008 BELLEAU AVE, STAFFORD, VA 22556
(703) 784-5541
Mailing address
24008 BELLEAU AVE, STAFFORD, VA 22556
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
076384
IA
133V00000X
Registered Dietitian
—
—
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
12/17/2014
Last updated
03/21/2025
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