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Individual

CHRISTINA LYNN AMENDOLARE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
AGPCNP

Contact information

Practice address
101 N MAIN ST, COUPEVILLE, WA 98239-3413
(757) 572-9223
(360) 678-7621
Mailing address
101 N MAIN ST, COUPEVILLE, WA 98239-3413
(360) 678-7656

Taxonomy

Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
0024177796
VA

Other

Enumeration date
07/01/2019
Last updated
12/06/2023
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