Individual
AMANDA J FRUGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP-BC
Contact information
Practice address
10001 S EASTERN AVE STE 403, HENDERSON, NV 89052-3908
(702) 754-0622
(702) 476-2161
Mailing address
700 SHADOW LN STE 240, LAS VEGAS, NV 89106-4158
(702) 384-0022
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
883491
NV
363LG0600X
Gerontology Nurse Practitioner
883491
NV
Other
Enumeration date
04/09/2025
Last updated
04/09/2025
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