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Amanda Igata, FNP
Family Nurse Practitioner in South Boston, Virginia
NPI 1063844926

Amanda Igata is a Family Nurse Practitioner based in South Boston, VA and is specialized in Family. Amanda Igata practices in South Boston, VA and has the professional credentials of FNP. The NPI Number for Amanda Igata is 1063844926 and holds a License No. 0024171074 (Virginia).

The current practice location address for Amanda Igata is 101 Aubreys Loop, South Boston, VA and can be reached out via phone at 434-517-3879.

Location: 101 Aubreys Loop, South Boston, VA, 24592-5056
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1063844926
Provider Name
Amanda Igata
Credential
FNP
Provider Entity Type
Individual
Gender
Female
Address
101 Aubreys Loop, South Boston, VA, 24592-5056
Phone Number
434-517-3879
Fax Number
Provider Enumeration Date
08/02/2013
Last Update Date
06/15/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0024171074 01 VA VA LICENSE
institution
Provider Business Practice Location Address Details
Address
101 Aubreys Loop
City
South Boston
State
Virginia
Zip
24592-5056
Phone Number
434-517-3879
Fax Number
person
Provider Business Mailing Address Details
Address
101 Aubreys Loop
City
South Boston
State
Virginia
Zip
24592-5056
Phone Number
434-517-3879
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
0024171074 (Virginia)
Definition
Definition to come...
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