Individual
AMANDA J MUSSELMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
1700 S 23RD ST, FORT PIERCE, FL 34950-4803
(772) 468-4551
Mailing address
1700 S 23RD ST, FORT PIERCE, FL 34950-4803
(772) 468-4551
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
RN9309351
FL
247200000X
Other Technician
—
—
363LF0000X
Family Nurse Practitioner
Primary
APRN11027973
FL
Other
Enumeration date
09/28/2006
Last updated
03/22/2024
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