Wilson, Amanda

Wilson, Amanda is an sole proprietor health care provider with primary practice located at 229 N Block Ave , Fayetteville AR 72701-5204. She recently has 2 registered licenses in different health care specialties including Dietary & Nutritional Service Providers / Nutrition, Education, Nursing Service Providers / Nutrition Support. Nursing Service Providers / Nutrition Support is her primary health care specialty. Wilson, Amanda can be contacted via phone (479) 200-2749.

Contact Information

Primary practice address
229 N Block Ave Fayetteville AR 72701-5204
Phone: (479) 200-2749
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Nutrition, Education 133NN1002X
Nursing Service Providers / Nutrition Support 163WN1003X R090453 Arkansas

Profile Details

NPI number 1962246207
LBN Legal business name Wilson, Amanda
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 21st, 2024
Last updated Jun 21st, 2024 - about 2 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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