Individual
AMANDA ELAINE MORRISSETTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8831 IMMOKALEE RD, NAPLES, FL 34120-3914
(239) 304-2360
Mailing address
117 FAIRHOPE AVE, FAIRHOPE, AL 36532-2313
(504) 460-2329
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
11028003
FL
Other
Enumeration date
10/02/2023
Last updated
11/29/2023
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