Ward, Amanda A
Ward, Amanda A is an individual health care provider with primary practice located at 5740 Crestwood Dr , Ogden UT 84405. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Ward, Amanda A can be contacted via phone (801) 479-7771.Contact Information
Primary practice address
5740 Crestwood Dr
Ogden UT 84405
Phone: (801) 479-7771
Fax: (801) 479-7795
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 295227-4405 | Utah |
Profile Details
| NPI number | 1164816906 |
|---|---|
| LBN Legal business name | Ward, Amanda A |
| Credentials | Family Nurse Practitioner (FNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 18th, 2015 |
| Last updated | Jun 10th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1164816906 | NPPES |
| Utah | MEDICAID | 1164816906 |
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