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Amanda Waddell, APRN
Psychiatric/Mental Health Nurse Practitioner in Prestonsburg, Kentucky
NPI 1306943931

Amanda Waddell is a Psychiatric/Mental Health Nurse Practitioner based in Prestonsburg, KY and is specialized in Psychiatric/Mental Health. Amanda Waddell practices in Prestonsburg, KY and has the professional credentials of APRN. The NPI Number for Amanda Waddell is 1306943931 and holds a License No. 3003330 (Kentucky).

The current practice location address for Amanda Waddell is 104 S Front Ave, Prestonsburg, KY and can be reached out via phone at 606-886-8572 and via fax at 606-886-4433.

Location: 104 S Front Ave, Prestonsburg, KY, 41653-1614
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Provider Profile Details
NPI Number
1306943931
Provider Name
Amanda Waddell
Credential
APRN
Provider Entity Type
Individual
Gender
Female
Address
104 S Front Ave, Prestonsburg, KY, 41653-1614
Phone Number
606-886-8572
Fax Number
606-886-4433
Provider Enumeration Date
09/17/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
3003330 01 KY STATE NP LICENSE
78004652 05 KY
000000236830 01 BCBS PROVIDER NUMBER
institution
Provider Business Practice Location Address Details
Address
104 S Front Ave
City
State
Zip
41653-1614
Phone Number
606-886-8572
Fax Number
606-886-4433
person
Provider Business Mailing Address Details
Address
104 S Front Ave
City
State
Zip
41653-1614
Phone Number
606-886-8572
Fax Number
606-886-4433
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
3003330 (Kentucky)
Definition
Definition to come...
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