| NPI | 1780103143 |
|---|---|
| Former Name | AMANDA B DARDEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MO 2017007862) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WI 14987) |
| 363LF0000X Nurse Practitioner, Family (Licence: MO 2017007862) | |
| Enumeration Date | 2017-09-15 |
| Last Update Date | 2024-06-06 |