| NPI | 1598139032 |
|---|---|
| Other Name | AMANDA HANES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IN 71006112A) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28164501A) |
| 363LF0000X Nurse Practitioner, Family (Licence: IN 71006112A) | |
| Enumeration Date | 2015-11-20 |
| Last Update Date | 2022-10-07 |