Individual
AMANDA LEE OUTLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1324 LAKELAND HILLS BLVD, LAKELAND, FL 33805-4543
(863) 687-1100
Mailing address
1801 TINDEL CAMP RD, LAKE WALES, FL 33898-7537
(863) 287-6925
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
APRN11022566
FL
363LF0000X
Family Nurse Practitioner
APRN11022566
FL
Other
Enumeration date
11/11/2022
Last updated
12/20/2023
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