Van Liessum, Amanda Leigh

Van Liessum, Amanda Leigh is an individual health care provider with primary practice located at 440 N State Road 7 Suite 107, Royal Palm Beach FL 33411-3504. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Van Liessum, Amanda Leigh can be contacted via phone (561) 795-8655.

Contact Information

Primary practice address
440 N State Road 7 Suite 107 Royal Palm Beach FL 33411-3504
Phone: (561) 795-8655
Fax: (561) 795-8449
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X ARNP9265531 Florida

Profile Details

NPI number 1346541927
LBN Legal business name Van Liessum, Amanda Leigh
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 12th, 2010
Last updated Mar 20th, 2012 - about 14 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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