Individual
MRS. AMANDA RAE WHOLLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP
Contact information
Practice address
LANDSTUHL REGIONAL MEDICAL CENTER UNIT 33100, APO, NY 09180-3100
(153) 590-7662
Mailing address
4001 LAKE OTIS PKWY STE 101, ANCHORAGE, AK 99508-5200
(800) 769-0045
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
103809
AK
Other
Enumeration date
09/02/2015
Last updated
01/09/2023
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