IndividualActive
Amanda Pumilia, APRN
NPI 1104374503 · Nurse Practitioner · Port Charlotte, FL
Provider details
- NPI number
- 1104374503
- Entity type
- Individual
- Primary specialty
- Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- APRN
- Sex
- Female
- Sole proprietor
- No
- License
- 041-348345 (IL)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Nursing Service Providers
Practice location
1641 Tamiami Trl
Port Charlotte, FL 33948-1018
Phone: (419) 629-6262
Fax: (941) 629-1782
Approximate (ZIP-level) locationGet directions
Mailing address
Box 78534
Milwaukee, WI 53278
Registry dates
- Enumerated
- 2016-09-14
- Last updated
- 2021-04-15
- Certified
- 2021-04-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.