Couch, Amanda Brooke

Couch, Amanda Brooke is an individual health care provider with primary practice located at 1922 Mcconnell Springs Rd Suite A, Anderson SC 29621-2642. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Couch, Amanda Brooke can be contacted via phone (864) 716-6050.

Contact Information

Primary practice address
1922 Mcconnell Springs Rd Suite A Anderson SC 29621-2642
Phone: (864) 716-6050
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 3656 South Carolina

Profile Details

NPI number 1700042520
LBN Legal business name Couch, Amanda Brooke
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 31st, 2008
Last updated Mar 11th, 2015 - about 11 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 1700042520 NPPES
South Carolina MEDICAID NP1517

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