NPI 1285170886 · live from the CMS NPI Registry
Amanda Dawn Bane, NP
Nurse Practitioner, Pediatrics in Richmond, VA. National Provider Identifier 1285170886, active.
NPI record
| NPI | 1285170886 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner, Pediatrics 363LP0200X |
| Practice location | 1250 E Marshall St, Richmond, VA 23298 |
| Practice phone | 804-828-2467 |
| Mailing address | Po Box 91734, Richmond, VA 23291 |
| Enumerated | January 6, 2017 |
| Last updated | July 21, 2022 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner, Pediatrics primary | 363LP0200X | 0024169304 (VA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.