Individual
MRS. AMANDA BLISS PERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
681 GLEN ROGERS RD., GLEN ROGERS, WV 25848
(910) 233-6674
Mailing address
PO BOX 840, PINEVILLE, WV 24874-0840
(910) 233-6674
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
114791
WV
Other
Enumeration date
12/13/2022
Last updated
12/13/2022
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