Most Relevant Information
Provider Data
| NPI Number: | 1003046616 |
| Provider Name: | AMANDA LEIGH PERRY DNP, FNP-C |
| Entity Type: | Individual |
| Taxonomy Code: | 363LF0000X |
| Specialty: | Nurse Practitioner |
| License Number: | R41616 |
Most Important Dates
| Enumeration Date: | 07/16/2009 |
| Last Updated: | 12/09/2016 |
Provider Practice Location
665 112TH AVE NE
COOPERSTOWN
ND
584259264
Practice Location Phone/Fax
| Phone: | 6018700774 |
| Fax: | 7017973328 |
Provider Mailing Location
665 112TH AVE NE
COOPERSTOWN
ND
584259264
Provider Mailing Phone/Fax
| Phone: | 6018700774 |
| Fax: | 7017973328 |