| NPI | 1649361197 |
|---|---|
| Former Name | AMANDA JEAN EARNEST |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11027973) |
| Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: FL RN9309351) |
| 247200000X Technician, Other | |
| Enumeration Date | 2006-09-28 |
| Last Update Date | 2024-03-22 |