| NPI | 1780016782 |
|---|---|
| Former Name | AMANDA NICOLE TERZIAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY F306606) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: VA 0024171620) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: VA 0024171620) | |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: VA 0024171620) | |
| Enumeration Date | 2013-08-01 |
| Last Update Date | 2017-02-15 |