NPI 1528646221
Amanda Grantham, LPNNBCHWC
Practice location
- Address
- 5520 E State Road 64 STE 101, Bradenton, FL 34208-5526
- Phone
- (941) 721-0649
- Mailing address
- 1999 Scarlett Ave, North Port, FL 34289-9400
Registered specialties
Health & Wellness Coach
Primary
Registry record
- NPI
- 1528646221
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 1 Apr 2021
- Record last updated
- 1 Apr 2021
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.