NPI 1205698867

Amanda Nickles

Practitioner Health & Wellness Coach Philadelphia, PA

Practice location

Address: 1101 Market St Fl 21, Philadelphia, PA 19107-2900
Phone: (516) 660-4611

Registered specialties

Health & Wellness Coach Primary

Other Service Providers Taxonomy 171400000X

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Registry record

NPI: 1205698867
Entity type: Individual
Sex (as registered): Female
NPI issued: 29 Jan 2024
Record last updated: 29 Jan 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.