Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
AMANDA WILLARD, APRN
Active Sole ProprietorAMANDA WILLARD, APRN is a Family Nurse Practitioner healthcare provider located in INTERLACHEN, Florida. NPI 1174305098 is currently active in the NPPES registry. Verify at CMS.
Family Nurse Practitioner · INTERLACHEN, FL
Registration Details
- NPI Number
- 1174305098
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 16, 2023 (2.643131884054 yrs)
- Last Updated
- Apr 3, 2024
- License
-
11029179 (FL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1213 STATE ROAD 20INTERLACHEN, FL, 321482737Browse FL providers · Browse ZIP 32148
- Phone
- 9046989098
- Primary Specialty
-
Family Nurse Practitioner
363LF0000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.