Individual
AMANDA LYNN WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
8960 COLONIAL CENTER DR STE 300, FORT MYERS, FL 33905-7810
(239) 343-9470
(239) 343-9498
Mailing address
PO BOX 2147, FORT MYERS, FL 33902-2147
(239) 343-9470
(239) 343-9498
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1000139
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001338000
—
FL
Enumeration date
07/21/2009
Last updated
03/21/2023
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