IndividualActive
Amanda Soper
NPI 1639941420 · Community Health Registered Nurse · Watertown, NY
Provider details
- NPI number
- 1639941420
- Entity type
- Individual
- Primary specialty
- Community Health Registered NurseNursing Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 456879 (NY)
Specialties & taxonomies
Nursing Service Providers
Practice location
211 Jb Wise Pl
Watertown, NY 13601-2507
Phone: (315) 782-7445
Approximate (ZIP-level) locationGet directions
Mailing address
1704 State St
Watertown, NY 13601-3102
Registry dates
- Enumerated
- 2023-10-25
- Last updated
- 2023-10-25
- Certified
- 2023-10-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.