Provider Demographics
NPI:1619455896
Name:ARTHUR, AMANDA MICHELLE (NP)
Entity Type:Individual
Prefix:
First Name:AMANDA
Middle Name:MICHELLE
Last Name:ARTHUR
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1315 SHADOW RIDGE DR SE
Mailing Address - Street 2:
Mailing Address - City:HUNTSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35803-3653
Mailing Address - Country:US
Mailing Address - Phone:205-799-9919
Mailing Address - Fax:
Practice Address - Street 1:4700 WHITESBURG DR SW STE 225
Practice Address - Street 2:
Practice Address - City:HUNTSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35802-1691
Practice Address - Country:US
Practice Address - Phone:256-517-9918
Practice Address - Fax:256-819-0001
Is Sole Proprietor?:No
Enumeration Date:2018-07-31
Last Update Date:2022-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-131131363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL1-131131OtherALABAMA BOARD OF NURSING