Provider Demographics
NPI:1184063000
Name:ALLMARAS, AMANDA ELIZABETH (NP-C, MSN, APRN, BS)
Entity type:Individual
Prefix:MRS
First Name:AMANDA
Middle Name:ELIZABETH
Last Name:ALLMARAS
Suffix:
Gender:F
Credentials:NP-C, MSN, APRN, BS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 514
Mailing Address - Street 2:
Mailing Address - City:FESSENDEN
Mailing Address - State:ND
Mailing Address - Zip Code:58438-0514
Mailing Address - Country:US
Mailing Address - Phone:701-369-2961
Mailing Address - Fax:701-807-9067
Practice Address - Street 1:PO BOX 514
Practice Address - Street 2:
Practice Address - City:FESSENDEN
Practice Address - State:ND
Practice Address - Zip Code:58438-0514
Practice Address - Country:US
Practice Address - Phone:701-369-2961
Practice Address - Fax:701-807-9067
Is Sole Proprietor?:No
Enumeration Date:2013-06-25
Last Update Date:2024-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NDF0613388363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily