Freeman, Amanda Morgan

Freeman, Amanda Morgan is an individual health care provider with primary practice located at 1010 Spruce St 2Nd Fl Area 3 , Espanola NM 87532-2724. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Freeman, Amanda Morgan can be contacted via phone (505) 367-0340.

Contact Information

Primary practice address
1010 Spruce St 2Nd Fl Area 3 Espanola NM 87532-2724
Phone: (505) 367-0340
Fax: (505) 367-0346
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA2024-0048 New Mexico

Profile Details

NPI number 1427329077
LBN Legal business name Freeman, Amanda Morgan
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 13th, 2012
Last updated Jul 3rd, 2024 - about 2 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 1427329077 NPPES
Maryland MEDICAID 926580507
Maryland MEDICAID 926580505

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