Individual
AMANDA CLEVENGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
5234 LITTLE RD, NEW PORT RICHEY, FL 34655-1213
(727) 807-6900
Mailing address
5234 LITTLE RD, NEW PORT RICHEY, FL 34655-1213
(727) 807-6900
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
11021022
FL
Other
Enumeration date
08/04/2022
Last updated
08/04/2022
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