Provider Demographics
NPI:1376970335
Name:ACCETTURO, AMANDA (APRN)
Entity Type:Individual
Prefix:MRS
First Name:AMANDA
Middle Name:
Last Name:ACCETTURO
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6861 140TH LN N
Mailing Address - Street 2:
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33418-7246
Mailing Address - Country:US
Mailing Address - Phone:401-588-2494
Mailing Address - Fax:
Practice Address - Street 1:4520 DONALD ROSS RD STE 200
Practice Address - Street 2:
Practice Address - City:PALM BEACH GARDENS
Practice Address - State:FL
Practice Address - Zip Code:33418-5105
Practice Address - Country:US
Practice Address - Phone:561-904-7200
Practice Address - Fax:561-624-4509
Is Sole Proprietor?:No
Enumeration Date:2013-10-03
Last Update Date:2021-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP9359800363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily