Lucero, Amanda Carlene

Lucero, Amanda Carlene is an individual health care provider with primary practice located at 2914 Kenilworth Blvd , Sebring FL 33870-4307. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Adult Health is her primary health care specialty. Lucero, Amanda Carlene can be contacted via phone (886) 658-1764.

Contact Information

Primary practice address
2914 Kenilworth Blvd Sebring FL 33870-4307
Phone: (886) 658-1764
Fax: (855) 847-7646
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 2980082 Florida
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X ARNP2980082 Florida

Profile Details

NPI number 1316913239
LBN Legal business name Lucero, Amanda Carlene
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 28th, 2006
Last updated Oct 7th, 2019 - about 7 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 1316913239 NPPES
Florida MEDICAID 307168500
Florida MEDICAID 307168500

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