AMANDA NICOLE PENDRAGON

ELIZABETHTOWN, KY
NPI1336864198
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: KY  3018433)
Enumeration Date2022-10-04
Last Update Date2023-12-18
Business Address
AMANDA NICOLE PENDRAGON APRN
157 TOWNE DR STE 103
ELIZABETHTOWN, KY 42701-8460
Phone number: 270-765-5926
Mailing Address
AMANDA NICOLE PENDRAGON APRN
PO BOX 776351
CHICAGO, IL 60677-6351
Phone number: 502-588-9490
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