Individual
MRS. AMANDA VAN WYK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGNP-C
Contact information
Practice address
1111 DUFF AVE, AMES, IA 50010-5745
(515) 239-4472
Mailing address
1215 DUFF AVE, AMES, IA 50010-5469
(515) 239-4400
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
H156953
IA
Other
Enumeration date
12/08/2019
Last updated
11/08/2023
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