NPI | 1598226193 |
---|---|
Professional Name | AMANDA HOSEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209019151) |
Additional Taxonomies | 261QS1000X Clinic/Center, Student Health (Licence: IL 209019151) |
Enumeration Date | 2019-03-27 |
Last Update Date | 2024-02-05 |