Individual
AMANDA PRATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
1676 SUNSET AVE # 4, UTICA, NY 13502-5416
(315) 624-8130
Mailing address
1657 SUNSET AVE, UTICA, NY 13502-5415
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
341856
NY
363LF0000X
Family Nurse Practitioner
Primary
F341856-1
NY
Other
Enumeration date
08/19/2017
Last updated
12/07/2023
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