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Individual

AMANDA NICOLE KRALICK

Active
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Individual

AMANDA NICOLE KRALICK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
20353
SC
363LA2200X
Adult Health Nurse Practitioner
Primary
AG0715148
TN
363LA2200X
Adult Health Nurse Practitioner
ARNP9407584
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
016276300
FL
Enumeration date
08/10/2015
Last updated
03/11/2022
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