Active NPIIndividual provider

Amanda L Carlson, DNP, APRN, FNP-C

Nurse Practitioner, Family in Bend, Oregon

NPI Number1306460647
Practice location
1340 NW Wall St, Bend, OR 97703-1985
Fax
541-322-7565
Last updated
November 28, 2023

Amanda L Carlson, DNP, APRN, FNP-C is a Nurse Practitioner, Family based in Bend, OR. Amanda L Carlson, DNP, APRN, FNP-C holds the professional credentials of DNP, APRN, FNP-C. The NPI number for Amanda L Carlson, DNP, APRN, FNP-C is 1306460647 and holds license No. 10286389-3102 (UT). The current practice location address is 1340 NW Wall St, Bend, OR 97703-1985 and the office can be reached by phone at 541-322-7500 and by fax at 541-322-7565. The NPI was assigned on June 2, 2020 and the record was last updated in NPPES on November 28, 2023.

●Provider Profile Details

NPI Number
1306460647
Provider Name
Amanda Lyn Carlson
Credential
DNP, APRN, FNP-C
Entity Type
Individual (Type 1 NPI)
Gender
Female
Primary Taxonomy
Nurse Practitioner, Family · 363LF0000X
Sole Proprietor
No
Enumeration Date
June 2, 2020
Last Update Date
November 28, 2023
Certification Date
November 28, 2023
NPI Status
Active

◉Business Practice Location Address

Address
1340 NW Wall St
Bend, OR 97703-1985
City
Bend
State
Oregon
ZIP
97703-1985
Country
US
Phone Number
541-322-7500
Fax Number
541-322-7565

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✉Business Mailing Address

Address
2577 NE Courtney Dr
Bend, OR 97701-7752
City
Bend
State
OR
ZIP
97701-7752
Phone Number
541-322-7500
Fax Number
541-322-7565

✎Taxonomy & License Information

TaxonomyCodePrimaryLicenseState
Registered Nurse163W00000XNo10286389-3102UT
Nurse Practitioner, Family363LF0000XYes202109536NP-PPOR

#Other Provider Identifiers

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

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?Frequently Asked Questions

What is the NPI number of Amanda L Carlson, DNP, APRN, FNP-C?

The NPI number of Amanda L Carlson, DNP, APRN, FNP-C is 1306460647. It was assigned on June 2, 2020 and is currently active in the NPPES registry.

What is the specialty of Amanda L Carlson, DNP, APRN, FNP-C?

Amanda L Carlson, DNP, APRN, FNP-C is registered under the primary taxonomy Nurse Practitioner, Family (code 363LF0000X) and holds license No. 10286389-3102 (UT).

Where does Amanda L Carlson, DNP, APRN, FNP-C practice?

The practice location is 1340 NW Wall St, Bend, OR 97703-1985. The office can be reached at 541-322-7500 (phone) or 541-322-7565 (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 1306460647 directly on the NPPES registry website at npiregistry.cms.hhs.gov.

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