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Individual

MISS AMANDA WATERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPN

Contact information

Practice address
1420 DONELSON PIKE STE B19, NASHVILLE, TN 37217-2999
(615) 912-2477
Mailing address
1420 DONELSON PIKE STE B19, NASHVILLE, TN 37217-2999
(615) 912-2477

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN0000081082
TN

Other

Enumeration date
09/06/2013
Last updated
10/26/2025
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