Amanda Dawn Bane, NP
Nurse Practitioner, Pediatrics in Richmond, VA. Individual provider (NPI-1).
NPI number1285170886
StatusActive
Last updated in NPPESJul 21, 2022
Details
- NPI
- 1285170886
- Entity type
- Individual (NPI-1)
- Name
- Amanda Dawn Bane
- Credential
- NP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 6, 2017
- Last updated
- Jul 21, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LP0200X | Nurse Practitioner, Pediatrics | 0024169304 | VA | Yes |
Practice location
1250 E Marshall StRichmond, VA 23298-5051
Phone 804-828-2467 · Fax 804-628-0375
Mailing address
Po Box 91734Richmond, VA 23291-1734
Phone 804-358-6100 · Fax 804-342-7619
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