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Contact Information

AMANDA COMBS
202 BEAM LN
POCOLA, OK74902-2463
 Phone: 479-926-0332
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Gerontology

363LG0600X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for AMANDA COMBS · (Female)

NPI # 1053787283
Status Active
Credentials
Entity Individual
Enumeration date 08/11/2015
Last updated 08/11/2015 - About 11 years ago
Sole proprietor 1 Yes
Identifiers
  • AR License # A004509
Hospital affiliation(s)
  • W W HASTINGS INDIAN HOSPITAL - (Acute Care)
    100 S BLISS AVENUE
    TAHLEQUAH, OK 74464
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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