Active NPIIndividual provider

Amanda S Bahler, APRN

Nurse Practitioner, Acute Care in Fayetteville, Georgia

NPI Number1245785013
Practice location
105 Carnegie Pl Ste 103, Fayetteville, GA 30214-5900
Fax
770-716-8444
Last updated
May 9, 2024

Amanda Sullivan Bahler is a Nurse Practitioner, Acute Care based in Fayetteville, GA. Amanda Sullivan Bahler practices in Fayetteville, GA and has the professional credentials of APRN. The NPI Number for Amanda Sullivan Bahler is 1245785013 and holds a License No. 6612 (CT). The current practice location address for Amanda Sullivan Bahler is 105 Carnegie Pl Ste 103, Fayetteville, GA 30214-5900 and can be reached out via phone at 770-716-7999 and via fax at 770-716-8444.

Provider Profile Details

NPI Number
1245785013
Provider Name
Amanda Sullivan Bahler
Credential
APRN
Provider Entity Type
Individual
Gender
Female
Address
105 Carnegie Pl Ste 103, Fayetteville, GA 30214-5900
Phone Number
770-716-7999
Fax Number
770-716-8444
Primary Taxonomy
Nurse Practitioner, Acute Care · 363LA2100X
Sole Proprietor
No
Other Names
-- Amanda Pegeen Sullivan (Former Name)
Provider Enumeration Date
August 22, 2016
Last Update Date
May 9, 2024
Certification Date
May 9, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
105 Carnegie Pl Ste 103
Fayetteville, GA 30214-5900
State
Georgia
Zip
30214-5900
Phone Number
770-716-7999
Fax Number
770-716-8444
Fayetteville, GA 30214Get directions →

Provider Business Mailing Address Details

Address
80 Seymour Street
Hartford, CT 06102-5037
City
Hartford
State
CT
Zip
06102-5037
Phone Number
860-545-5000

License Information

License Number (1)
6612
License State (1)
CT
Taxonomy (1)
Nurse Practitioner · 363L00000X
License Number (2)
6612
License State (2)
CT
Taxonomy (2)
Nurse Practitioner, Acute Care · 363LA2100X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

Other Nurse Practitioner, Acute Care providers near Fayetteville, GA

View all Nurse Practitioner, Acute Care providers in Fayetteville →

Frequently Asked Questions

What is the NPI number of Amanda S Bahler, APRN?

The NPI number of Amanda S Bahler, APRN is 1245785013. It was assigned on August 22, 2016 and is currently active in the NPPES registry.

What is the specialty of Amanda S Bahler, APRN?

Amanda S Bahler, APRN is registered under the primary taxonomy Nurse Practitioner, Acute Care (code 363LA2100X), licensed in CT under license number 6612.

Where does Amanda S Bahler, APRN practice?

The practice location is 105 Carnegie Pl Ste 103, Fayetteville, GA 30214-5900. The office can be reached at 770-716-7999 (phone) or 770-716-8444 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1245785013 directly on the NPPES registry website.

Browse related providers