Individual
AMANDA PITTS NUMMY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP, FNP
Contact information
Practice address
330 SAINT LUKES DR, MONTGOMERY, AL 36117-7108
(334) 270-8864
(334) 270-1176
Mailing address
330 SAINT LUKES DR, MONTGOMERY, AL 36117-7108
(334) 270-8864
(334) 270-1176
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
1-150901
AL
363LF0000X
Family Nurse Practitioner
Primary
1-150901
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
299508
—
AL
Enumeration date
06/29/2020
Last updated
04/19/2023
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