Individual
AMANDA NICOLE KRALICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
8115 ISABELLA LN STE 12, BRENTWOOD, TN 37027
(615) 309-0080
(615) 932-7270
Mailing address
1965 CCC RD, DICKSON, TN 37055-4228
(931) 626-9645
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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