Rodriguez, Amanda

Rodriguez, Amanda is an individual health care provider with primary practice located at 103 E 23Rd St , Panama City FL 32405. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology, Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife. Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife is her primary health care specialty. Rodriguez, Amanda can be contacted via phone (850) 769-0338.

Contact Information

Primary practice address
103 E 23Rd St Panama City FL 32405
Phone: (850) 769-0338
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology 363LX0001X 9491261 Florida
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X

Profile Details

NPI number 1558677484
LBN Legal business name Rodriguez, Amanda
Credentials Certified Nurse Midwife (CNM)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 2010
Last updated Aug 9th, 2021 - about 5 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 1558677484 NPPES
Indiana MEDICAID 201000440
Indiana Other 000000993054

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