Individual
AMANDA IRENE COLLETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
243 ROY CAMPBELL DR, SUITE B, HAZARD, KY 41701-9485
(606) 439-0051
Mailing address
PO BOX 813, WOOTON, KY 41776-0813
(606) 538-5738
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3018109
KY
Other
Enumeration date
09/22/2022
Last updated
09/22/2022
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