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Contact Information

AMANDA C WEIDMAN, APRN, FNP-C
1001 E BOGARD RD
WASILLA, AK99654-7114
 Phone: 907-373-2225
 Fax: 907-376-9225
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Practitioner

363L00000X 50 Nurse Practitioner
 

Family

363LF0000X 50 Nurse Practitioner
 

Primary Care

363LP2300X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for AMANDA C WEIDMAN · (Female)

NPI Number 1356105951
Status Active
Credentials APRN, FNP-C
Entity Individual
Enumeration date 02/13/2024
Last updated 12/29/2025 - About 5 months ago
Sole proprietor 1 Yes
Identifiers
  • AK License # 218931
Hospital affiliation(s) Not Available
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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