Doctor Name: | AMANDA DAY REGAN |
NPI Number: | 1174983605 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | ARNP |
License Number: | ARNP9249888 |
Business Practice Address: | 2257 Us Highway 441 N Ste A Okeechobee, FL - 349721943 |
Business Phone Number: | 8634674788 |
Business Fax Number: | 8634679508 |
Mailing Address: | 2257 Hwy 441 North Ste A, OKEECHOBEE |
State: | FL |
Postal Code: | 349721943 |
Phone Number: | 8634674788 |
Fax Number: | 8634679092 |
NPI Enumeration Date: | 02/25/2016 |
NPI Last Update Date: | 02/25/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | ARNP9249888 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |