DR. AMANDA LEIGH PERRY DNP, FNP-C
NPI 1003046616
Nurse Practitioner - Family in Cooperstown, ND
Active since July 16, 2009
About Dr. Amanda Leigh Perry Dnp, Fnp-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. AMANDA LEIGH PERRY DNP, FNP-C (NPI 1003046616) is an individual family provider in Cooperstown, North Dakota, licensed in North Dakota (R41616) and active in the NPI registry since July 2009.
NPPES Registry Identity
NPI1003046616
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameDR. AMANDA LEIGH PERRYCredential: DNP, FNP-C
Location Address665 112TH AVE NECooperstown, ND 58425-9264
Mailing Address665 112th Ave NeCooperstown, ND 58425-9264 · (601) 870-0774 · Fax (701) 797-3328
Phone(601) 870-0774
Fax(701) 797-3328
Sole ProprietorNo
Enumeration DateJuly 16, 2009
Last NPPES UpdateDecember 9, 2016
✔ NPI 1003046616 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses 2
★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in ND · R41616
Also ListedNurse PractitionerTaxonomy 363L00000X · License R863756 (MS)
665 112TH AVE NE, Cooperstown, ND 58425
Other Identifiers 2
Medicare PIN302I509838MS
Medicaid07736054MS
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1003046616, enumerated as an "individual" on July 16, 2009.
The provider is located at 665 112TH AVE NE COOPERSTOWN, ND 58425 and the phone number is (601) 870-0774.
Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
