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Individual

AMANDA GONNELLA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NURSE PRACTITIONER

Contact information

Practice address
15237 CREATIVITY DR, CULPEPER, VA 22701-2504
(540) 321-4281
Mailing address
15237 CREATIVITY DR, CULPEPER, VA 22701-2504

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024182397
VA

Other

Enumeration date
09/08/2021
Last updated
03/25/2022
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