Wakim, Amanda Patricia

Wakim, Amanda Patricia is an individual health care provider with primary practice located at 58 16Th Street , Wheeling WV 26003. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Primary Care, which is considered as her primary health care specialty. Wakim, Amanda Patricia can be contacted via phone (304) 243-6410.

Contact Information

Primary practice address
58 16Th Street Wheeling WV 26003
Phone: (304) 243-6410
Fax: (304) 243-6411
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X 38366 West Virginia

Profile Details

NPI number 1245536408
LBN Legal business name Wakim, Amanda Patricia
Credentials MSN,FNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 7th, 2011
Last updated Jul 13th, 2020 - about 6 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 1245536408 NPPES
Other 2010009362 ANCC CERTIFICATION NUMBER
Other 38366 ANCC CERTIFICATION NUMBER
MEDICAID 0063534 ANCC CERTIFICATION NUMBER
Other RN.287505 ANCC CERTIFICATION NUMBER

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