Rezba, Amanda Jo

Rezba, Amanda Jo is an individual health care provider with primary practice located at 1115 Boulders Pkwy Suite 100, North Chesterfield VA 23225-4067. 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. Rezba, Amanda Jo can be contacted via phone (804) 320-1339.

Contact Information

Primary practice address
1115 Boulders Pkwy Suite 100 North Chesterfield VA 23225-4067
Phone: (804) 320-1339
Fax: (804) 330-5829
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 0024167583 Virginia
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 0001199728 Virginia

Profile Details

NPI number 1245411537
LBN Legal business name Rezba, Amanda Jo
Credentials NP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 15th, 2007
Last updated May 23rd, 2014 - about 12 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 1245411537 NPPES
Virginia MEDICAID 1245411537
Virginia Other P00703382

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