Provider Demographics
NPI:1417335456
Name:CORDING, AMANDA LYNNE (ARNP)
Entity Type:Individual
Prefix:
First Name:AMANDA
Middle Name:LYNNE
Last Name:CORDING
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4600 MILITARY TRAIL
Mailing Address - Street 2:SUITE 115
Mailing Address - City:JUPITER
Mailing Address - State:FL
Mailing Address - Zip Code:33458-6608
Mailing Address - Country:US
Mailing Address - Phone:561-775-5252
Mailing Address - Fax:
Practice Address - Street 1:4600 MILITARY TRAIL
Practice Address - Street 2:SUITE 115
Practice Address - City:JUPITER
Practice Address - State:FL
Practice Address - Zip Code:33458-6608
Practice Address - Country:US
Practice Address - Phone:561-775-5252
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-05-11
Last Update Date:2015-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP 9234440363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily