Individual
AMANDA WHITSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
167 POLK ST, SUITE 300, WATERTOWN, NY 13601-2097
(315) 782-7445
(315) 779-1184
Mailing address
PO BOX 6550, WATERTOWN, NY 13601-6550
(315) 788-7430
(315) 785-5637
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
22-701771
NY
Other
Enumeration date
07/26/2016
Last updated
07/26/2016
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