Individual
AMANDA LEE HANEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
743 SPRING ST NE, GAINESVILLE, GA 30501-3715
(770) 219-9000
Mailing address
478 CHANDLER HEIGHTS CIR, ALTO, GA 30510-3408
(706) 968-8908
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN286240
GA
363LA2100X
Acute Care Nurse Practitioner
Primary
RN286240
GA
Other
Enumeration date
03/29/2022
Last updated
02/07/2024
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