NPI 1215996962

Amanda J Baltierra, FNPBC

Practitioner Family Nurse Practitioner Berryville, VA

Practice location

Address: 180 Grafton Ln, Berryville, VA 22611-2576
Phone: (540) 955-2400
Fax: (540) 955-9765
Mailing address: PO Box 112 180 Grafton Lane, Berryville, VA 22611-0112

Registered specialties

Family Nurse Practitioner Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363LF0000X Licence 0024167997 (VA)

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Registry record

NPI: 1215996962
Entity type: Individual
Sex (as registered): Female
NPI issued: 21 Mar 2006
Record last updated: 3 Jan 2013

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.