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
Phone: (256) 882-6555
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 24205 | Tennessee |
Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 1-147493 | Alabama |
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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1013405133 | NPPES |
Alabama | Other | 1-147493 | DIRECT PRIMARY CARE CLINIC |
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