Individual
AMANDA COMBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
6719 GOVERNOR G.C. PERRY HIGHWAY SUIT 3100, RICHLANDS, VA 24641
(276) 964-9102
Mailing address
6719 GOVERNOR G.C. PERRY HIGHWAY SUIT 3100, RICHLANDS, VA 24641
(276) 964-9102
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024174522
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1881133585
—
VA
Enumeration date
02/15/2017
Last updated
07/26/2017
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