Individual
AMANDA NICOLE LAWTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
A.G.P.C.N.P.-BC
Contact information
Practice address
4660 KENMORE AVE, SUITE 100, ALEXANDRIA, VA 22304-1313
(703) 751-5763
(703) 751-1152
Mailing address
4660 KENMORE AVE, SUITE 100, ALEXANDRIA, VA 22304-1313
(703) 751-5763
(703) 751-1152
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
0024171620
VA
363LA2200X
Adult Health Nurse Practitioner
Primary
F306606
NY
363LG0600X
Gerontology Nurse Practitioner
0024171620
VA
363LP2300X
Primary Care Nurse Practitioner
0024171620
VA
Other
Enumeration date
08/01/2013
Last updated
02/15/2017
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