| NPI | 1184058182 |
|---|---|
| Former Name | AMANDA LYNN RIORDAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN461230) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: KY 3008143) |
| Enumeration Date | 2013-08-26 |
| Last Update Date | 2022-04-04 |