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Individual

AMANDA WALRATH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
3405 NW FEDERAL HWY, JENSEN BEACH, FL 34957-4439
(772) 692-8082
Mailing address
3405 NW FEDERAL HWY, JENSEN BEACH, FL 34957-4439
(772) 692-8082

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
ARNP9336690
FL

Other

Enumeration date
07/31/2018
Last updated
09/06/2021
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