Provider Demographics
NPI:1649640111
Name:CURTIS, AMANDA C (FNP-C)
Entity type:Individual
Prefix:MRS
First Name:AMANDA
Middle Name:C
Last Name:CURTIS
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:301 NANTUCKET DR
Mailing Address - Street 2:
Mailing Address - City:ENDICOTT
Mailing Address - State:NY
Mailing Address - Zip Code:13760-2735
Mailing Address - Country:US
Mailing Address - Phone:607-754-2705
Mailing Address - Fax:
Practice Address - Street 1:301 NANTUCKET DR
Practice Address - Street 2:
Practice Address - City:ENDICOTT
Practice Address - State:NY
Practice Address - Zip Code:13760-2735
Practice Address - Country:US
Practice Address - Phone:607-754-2705
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-09-28
Last Update Date:2015-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY339823363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily