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Individual

MRS. AMANDA IRENE THORNGREN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSN, FNP

Contact information

Practice address
508 S HABANA AVE STE 210, TAMPA, FL 33609-4161
(813) 873-9010
Mailing address
8537 RIVERSIDE DR NE, ST PETERSBURG, FL 33702-3750
(815) 501-8073

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN11027946
FL

Other

Enumeration date
01/08/2024
Last updated
01/08/2024
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