Individual
AMANDA KAY ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
4218 HIGHWAY 31 SOUTH, DECATUR, AL 35603
(256) 560-2248
(256) 560-2249
Mailing address
434 E PIKE RD, FALKVILLE, AL 35622-5109
(256) 560-2248
(256) 560-2249
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1027668
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51522763
BCBS PROVIDER NUMBER
AL
Enumeration date
05/17/2007
Last updated
12/10/2019
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