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1982202412
AMANDA SHIVELY
FORT MYERS, FL
NPI
1982202412
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: FL APRN11009633)
Enumeration Date
2020-10-16
Last Update Date
2024-01-18
Business Address
AMANDA SHIVELY
2675 WINKLER AVE FL 2
FORT MYERS, FL 33901-9342
Phone number: 855-979-5700
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Mailing Address
AMANDA SHIVELY
2675 WINKLER AVE FL 2
FORT MYERS, FL 33901-9342
Phone number: 877-856-3774
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