Organization
AMANDA STEEN FNP INC
Active
Parent organization
AMANDA STEEN FNP INC
Other names
TAYLOR MADE HEALTH AND WELLNESS INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
AMANDA STEEN FNP INC
Authorized official
AMANDA LANE STEEN CNP (PRESIDENT)
(870) 448-4489
Entity
Organization
Contact information
Practice address
403 E MAIN ST, MARSHALL, AR 72650-7702
(870) 504-2944
Mailing address
403 E MAIN ST, MARSHALL, AR 72650-7702
(870) 448-4489
(870) 448-4894
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1629532155
NPI
AR
Enumeration date
05/05/2022
Last updated
11/11/2023
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