Individual
AMANDA M PARKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
1300 E A ST, SUITE 104, CASPER, WY 82601-2260
(307) 237-1900
(307) 268-8514
Mailing address
1300 E A ST, SUITE 104, CASPER, WY 82601-2260
(307) 237-1900
(307) 268-8514
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
21048.1467
WY
Other
Enumeration date
12/02/2015
Last updated
12/02/2015
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