Larson, Amanda Marie

Larson, Amanda Marie is an individual health care provider with primary practice located at 462 Grider St , Buffalo NY 14215-3021. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Larson, Amanda Marie can be contacted via phone (716) 898-3000.

Contact Information

Primary practice address
462 Grider St Buffalo NY 14215-3021
Phone: (716) 898-3000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 405292 New York

Profile Details

NPI number 1891568028
LBN Legal business name Larson, Amanda Marie
Credentials PMHNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 31st, 2023
Last updated Dec 3rd, 2023 - about 3 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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