| NPI | 1629427174 |
|---|---|
| Former Name | AMANDA DUNAWAY RAYBURN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MS 901566) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MS R884983) |
| Enumeration Date | 2016-06-06 |
| Last Update Date | 2023-04-18 |