AMANDA MICHELLE NORTHERN

PORTSMOUTH, VA
NPI1780081018
Former NameAMANDA FALES SMITH
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: VA  0024172143)
Enumeration Date2014-12-02
Last Update Date2014-12-02
Business Address
Mrs. AMANDA MICHELLE NORTHERN NP-c
3600 HIGH ST
PORTSMOUTH, VA 23707-3236
Phone number: 757-215-3100
Mailing Address
Mrs. AMANDA MICHELLE NORTHERN NP-c
3600 HIGH ST
PORTSMOUTH, VA 23707-3236
Phone number: 757-215-3100