Provider Demographics
NPI:1770090367
Name:KARSCHNICK, AMANDA LEE (ARNP)
Entity type:Individual
Prefix:
First Name:AMANDA
Middle Name:LEE
Last Name:KARSCHNICK
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 1:1115 ROSEWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:WENATCHEE
Mailing Address - State:WA
Mailing Address - Zip Code:98801-3322
Mailing Address - Country:US
Mailing Address - Phone:407-968-4317
Mailing Address - Fax:
Practice Address - Street 1:1115 ROSEWOOD AVE
Practice Address - Street 2:
Practice Address - City:WENATCHEE
Practice Address - State:WA
Practice Address - Zip Code:98801-3322
Practice Address - Country:US
Practice Address - Phone:407-968-4317
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-01-04
Last Update Date:2018-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAP60805170363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily