Cordero, Amanda Jo

Cordero, Amanda Jo is an individual health care provider with primary practice located at 4245 Balmoral Dr Sw Ste 102 , Huntsville AL 35801-6456. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Cordero, Amanda Jo can be contacted via phone (256) 882-6555.

Contact Information

Primary practice address
4245 Balmoral Dr Sw Ste 102 Huntsville AL 35801-6456
Fax:
Website:

Health care specialties

Profile Details

NPI number 1013405133
LBN Legal business name Cordero, Amanda Jo
Credentials CRNP, FNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 24th, 2018
Last updated Feb 5th, 2019 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1013405133 NPPES
Alabama Other 1-147493 DIRECT PRIMARY CARE CLINIC

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