| NPI | 1649800871 |
|---|---|
| Former Name | AMANDA LIN WAKEFIELD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN APN0000028584) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 253928) |
| 163W00000X Registered Nurse (Licence: KS 14-126931-092) | |
| 163W00000X Registered Nurse (Licence: MO 2011006432) | |
| 363LF0000X Nurse Practitioner, Family (Licence: MO 2020032305) | |
| Enumeration Date | 2020-01-15 |
| Last Update Date | 2022-07-27 |