Werneke, Amanda Jean

Werneke, Amanda Jean is an individual health care provider with primary practice located at 1200 E Pecan St , Altus OK 73521-6192. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Werneke, Amanda Jean can be contacted via phone (580) 379-5860.

Contact Information

Primary practice address
1200 E Pecan St Altus OK 73521-6192
Phone: (580) 379-5860
Fax: (580) 379-5859
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 106409 Oklahoma

Profile Details

NPI number 1295229623
LBN Legal business name Werneke, Amanda Jean
Credentials APRN-CRNA
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 19th, 2018
Last updated Aug 29th, 2022 - about 4 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 1295229623 NPPES
Oklahoma MEDICAID 200773860A

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