Individual
AMANDA NICOLE SHORTRIDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
418 E MAIN ST, ABINGDON, VA 24210-3408
(423) 963-8832
Mailing address
10039 REEDY CREEK RD, BRISTOL, VA 24202-2921
(423) 963-8832
(276) 206-2228
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024190694
VA
Other
Enumeration date
07/09/2024
Last updated
07/09/2024
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