Mrs. Amanda J. Fiji AGNP-BC
Primary Care Nurse Practitioner in Port Orange, FL(View on Map)
Full Name
Mrs. Amanda Justine Fiji AGNP-BC
NPI Number
1972098317
NPI Type
Individual Provider
Gender
Female
Enumeration Date
06/27/2018
Specialties
(Taxonomies)Code
363LP2300X
207RH0002X
Primary Taxonomy
Yes
No
Licenses
State
Florida
License Number
9273003
Contact
Information
Purpose
Mailing
Location
Address
3800 WOODBRIAR TRL
3800 WOODBRIAR TRL
City
Port Orange
Port Orange
State
FL
FL
Postal Code
32129-9626
32129-9626
Country
US
US
Telephone Number
(386) 425-4700
(864) 254-7003
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 02/14/2023
Provider Address
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