Individual
AMANDA JO BRASURE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
424 SAVANNAH RD, LEWES, DE 19958-1462
(302) 645-3300
Mailing address
32247 MOLLY FIELD RD, DAGSBORO, DE 19939-4491
(302) 519-9958
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
L1-0055445
DE
Other
Enumeration date
12/27/2019
Last updated
12/27/2019
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