Fadenrecht, Amanda C

Fadenrecht, Amanda C is an individual health care provider with primary practice located at 141 S Purcell Blvd Ste 140 , Pueblo West CO 81007-5123. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Primary Care, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Primary Care is her primary health care specialty. Fadenrecht, Amanda C can be contacted via phone (719) 281-9587.

Contact Information

Primary practice address
141 S Purcell Blvd Ste 140 Pueblo West CO 81007-5123
Phone: (719) 281-9587
Fax: (855) 593-6512
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X APN-0991259 Colorado
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X APN0991259NP Colorado

Profile Details

NPI number 1023425386
LBN Legal business name Fadenrecht, Amanda C
Credentials FNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 18th, 2014
Last updated Feb 12th, 2021 - about 5 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 1023425386 NPPES
Colorado Other APN0991259NP STATE LICENSE

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