Individual
AMANDA M BARNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
196 ARROWHEAD DR, SUITE 8, EVANSTON, WY 82930-8752
(307) 789-1390
(307) 789-1391
Mailing address
196 ARROWHEAD DR, SUITE 8, EVANSTON, WY 82930-8752
(435) 613-9500
(435) 613-9414
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
465
WY
363LF0000X
Family Nurse Practitioner
PENDING
WY
Other
Enumeration date
12/12/2008
Last updated
10/19/2009
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