Hiestand, Amanda

Hiestand, Amanda is an sole proprietor health care provider with primary practice located at 1421 Malabar Rd Ne Ste 250 , Palm Bay FL 32907-2587. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Hiestand, Amanda can be contacted via phone (321) 434-8420.

Contact Information

Primary practice address
1421 Malabar Rd Ne Ste 250 Palm Bay FL 32907-2587
Phone: (321) 434-8420
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 209014032 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X APRN11007579 Florida

Profile Details

NPI number 1215398862
LBN Legal business name Hiestand, Amanda
Credentials Advanced Practice Nurse (APN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 10th, 2016
Last updated Dec 14th, 2020 - 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 1215398862 NPPES
Florida MEDICAID 108731900
Florida Other NC075

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