Individual
AMANDA SHIRLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
138 W 25TH ST FL 11, NEW YORK, NY 10001-7405
(646) 905-2765
Mailing address
138 W 25TH ST FL 11, NEW YORK, NY 10001-7405
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
404420
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/23/2021
Last updated
04/10/2023
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