MS. AMANDA BRUNETTO FNP NPI 1447715529

NPI Information

NPI: 1447715529
Provider Name: MS. AMANDA BRUNETTO, FNP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
2418 N OAK ST STE J
VALDOSTA, GA
ZIP 31602
Phone: (229) 588-4688
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MS. Amanda Brunetto, FNP is a family nurse practitioner in Valdosta, GA. MS. Amanda Brunetto, FNP NPI is 1447715529. 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:

2418 N OAK ST STE J
VALDOSTA, GA
ZIP 31602-575
Phone: (229) 588-4688
Fax: (229) 588-4468

The NPI 1447715529 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 2/4/2019 and was last updated on 2/4/2019.

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
1	363LF0000X	Nurse Practitioner	Family	RN266507	GEORGIA	Yes

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: 4/28/2024

NPI Synchronization or Removal

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