AMANDA WILSON FNP NPI 1114832789

NPI Information

  • NPI: 1114832789
  • Provider Name: AMANDA WILSON, FNP
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • Address: 10 CHUGACH AVE
    KENAI, AK
    ZIP 99611
  • Phone: (907) 260-7200

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NPI Details

Amanda Wilson, FNP is a family nurse practitioner in Kenai, AK. Amanda Wilson, FNP NPI is 1114832789. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

10 CHUGACH AVE
KENAI, AK
ZIP 99611-028
Phone: (907) 260-7200

The enumeration date for this NPI number is 8/17/2026 and was last updated on 8/17/2026.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LF0000XNurse PractitionerFamily254264ALASKAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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