Individual
AMANDA LEIGH NICHOLAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
1050 W GENESEE ST, SYRACUSE, NY 13204-2243
(315) 641-2385
(315) 305-4677
Mailing address
1050 W GENESEE ST, SYRACUSE, NY 13204-2243
(315) 477-4663
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
351986
NY
Other
Enumeration date
09/18/2023
Last updated
03/12/2026
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