Individual
AMANDA MARIE DAFFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3 AUDUBON PLAZA DR, SUITE 430, LOUISVILLE, KY 40217-1300
(502) 636-4900
(502) 636-4901
Mailing address
PO BOX 776351, CHICAGO, IL 60677-6351
(502) 588-9490
(502) 272-5116
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
1151321
KY
Other
Enumeration date
01/12/2012
Last updated
01/12/2021
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