Provider Demographics
NPI:1790267870
Name:SEBASTIAN, AMANDA LAYNE (APRN)
Entity type:Individual
Prefix:
First Name:AMANDA
Middle Name:LAYNE
Last Name:SEBASTIAN
Suffix:
Gender:F
Credentials:APRN
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Mailing Address - Street 1:1395 MEADOW LARK DR
Mailing Address - Street 2:
Mailing Address - City:LAWRENCEBURG
Mailing Address - State:KY
Mailing Address - Zip Code:40342-8806
Mailing Address - Country:US
Mailing Address - Phone:502-545-6739
Mailing Address - Fax:
Practice Address - Street 1:299 KINGS DAUGHTERS DR
Practice Address - Street 2:
Practice Address - City:FRANKFORT
Practice Address - State:KY
Practice Address - Zip Code:40601-4186
Practice Address - Country:US
Practice Address - Phone:502-875-5240
Practice Address - Fax:502-209-2268
Is Sole Proprietor?:Yes
Enumeration Date:2018-09-05
Last Update Date:2024-12-19
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
KY3012579363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily