| NPI | 1548747967 |
|---|---|
| Former Name | AMANDA MARIE TALMADGE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY 309947) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 713309-1) |
| 163W00000X Registered Nurse (Licence: NY 9300321) | |
| Enumeration Date | 2018-07-27 |
| Last Update Date | 2024-10-24 |