Provider Demographics
NPI:1174968226
Name:FARINA, AMANDA MARIE (MSN, FNP-BC)
Entity type:Individual
Prefix:MS
First Name:AMANDA
Middle Name:MARIE
Last Name:FARINA
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Gender:F
Credentials:MSN, FNP-BC
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Mailing Address - Street 1:4735 OGLETOWN STANTON RD
Mailing Address - Street 2:MEDICAL ARTS PAVILION 2, SUITE 3302
Mailing Address - City:NEWARK
Mailing Address - State:DE
Mailing Address - Zip Code:19713-2072
Mailing Address - Country:US
Mailing Address - Phone:302-623-4144
Mailing Address - Fax:302-623-4147
Practice Address - Street 1:4735 OGLETOWN STANTON RD
Practice Address - Street 2:MEDICAL ARTS PAVILION 2, SUITE 3302
Practice Address - City:NEWARK
Practice Address - State:DE
Practice Address - Zip Code:19713-2072
Practice Address - Country:US
Practice Address - Phone:302-623-4144
Practice Address - Fax:302-623-4147
Is Sole Proprietor?:Yes
Enumeration Date:2013-05-02
Last Update Date:2014-04-01
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
DELG-0000654363LF0000X
PASP012824363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily