| NPI | 1104259589 |
|---|---|
| Former Name | AMANDA KAY STRUBLE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NE 111914) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NE 111914) |
| 363LF0000X Nurse Practitioner, Family (Licence: IA A134390) | |
| Enumeration Date | 2013-08-20 |
| Last Update Date | 2025-08-22 |