| NPI | 1124642582 |
|---|---|
| Former Name | AMANDA LANE MCCURRY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 27680) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 194338) |
| Enumeration Date | 2020-06-02 |
| Last Update Date | 2021-09-20 |