Individual
MRS. AMANDA FLORENCE LUCKANISH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
623 W NEWPORT PIKE, WILMINGTON, DE 19804-3235
(302) 777-5473
(302) 777-5483
Mailing address
623 W NEWPORT PIKE, WILMINGTON, DE 19804-3235
(302) 777-5473
(302) 777-5483
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
LG-0000520
DE
Other
Enumeration date
12/01/2010
Last updated
10/06/2023
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