Basic Information
| Provider Information | |||||||||
| NPI: | 1487192373 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | AMADOR | ||||||||
| FirstName: | BRITTNEY | ||||||||
| MiddleName: | RHIANNA | ||||||||
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| Credential: | CNM/ARNP | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1658 ST VINCENTS WAY STE 130 | ||||||||
| Address2: | |||||||||
| City: | MIDDLEBURG | ||||||||
| State: | FL | ||||||||
| PostalCode: | 320688459 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9042641624 | ||||||||
| FaxNumber: | 9042648386 | ||||||||
| Practice Location | |||||||||
| Address1: | 1658 ST VINCENTS WAY STE 130 | ||||||||
| Address2: | |||||||||
| City: | MIDDLEBURG | ||||||||
| State: | FL | ||||||||
| PostalCode: | 320688459 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9042641624 | ||||||||
| FaxNumber: | 9042648386 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 02/10/2017 | ||||||||
| LastUpdateDate: | 02/13/2017 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 367A00000X | ARNP 9361794 | FL | Y | Physician Assistants & Advanced Practice Nursing Providers | Advanced Practice Midwife | 363L00000X | ARNP 9361794 | FL | N | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | 363LX0001X | ARNP 9361794 | FL | N | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Obstetrics & Gynecology |
No ID Information.