Igata, Amanda

Igata, Amanda is an individual health care provider with primary practice located at 101 Aubreys Loop , South Boston VA 24592-5056. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Igata, Amanda can be contacted via phone (434) 517-3879.

Contact Information

Primary practice address
101 Aubreys Loop South Boston VA 24592-5056
Phone: (434) 517-3879
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 0024171074 Virginia

Profile Details

NPI number 1063844926
LBN Legal business name Igata, Amanda
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 2nd, 2013
Last updated May 21st, 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 1063844926 NPPES
Virginia Other 0024171074 VA LICENSE

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