IndividualActive
Amanda Pendragon, APRN
NPI 1336864198 · Family Nurse Practitioner · Elizabethtown, KY
Provider details
- NPI number
- 1336864198
- Entity type
- Individual
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- APRN
- Sex
- Female
- Sole proprietor
- No
- License
- 3018433 (KY)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
157 Towne Dr Ste 103
Elizabethtown, KY 42701-8460
Phone: (270) 765-5926
Fax: (270) 763-0051
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 776351
Chicago, IL 60677-6351
Registry dates
- Enumerated
- 2022-10-04
- Last updated
- 2024-11-18
- Certified
- 2024-11-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.