Individual
AMANDA RACHEL SELF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
2114 CREIGHTON RD STE A, PENSACOLA, FL 32504-7218
(850) 848-9500
(850) 901-0009
Mailing address
2114 CREIGHTON RD STE A, PENSACOLA, FL 32504-7218
(850) 848-9500
(850) 901-0009
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
ARNP9392793
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003154313
—
GA
05
—
168604
—
AL
Enumeration date
08/26/2014
Last updated
12/17/2024
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