Individual
MS. AMANDA FAYE FERREL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
720 14TH AVENUE, LONGVIEW, WA 98632
(360) 423-0203
(360) 577-0269
Mailing address
921 14TH AVENUE, LONGVIEW, WA 98632
(360) 423-0203
(360) 423-2311
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN60590242
WA
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
201508403RN
OR
Other
Enumeration date
03/29/2017
Last updated
10/08/2018
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