IndividualActive
Amanda Wilson
NPI 1932748217 · Homemaker · Haines City, FL
Provider details
- NPI number
- 1932748217
- Entity type
- Individual
- Primary specialty
- HomemakerNursing Service Related Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- 19000304177 (FL)
Specialties & taxonomies
Nursing Service Related Providers
Practice location
312 Flint St
Haines City, FL 33844-8219
Phone: (305) 450-8605
Approximate (ZIP-level) locationGet directions
Mailing address
1 South Blvd E # 2404
Davenport, FL 33837-7547
Registry dates
- Enumerated
- 2020-01-03
- Last updated
- 2020-01-03
- Certified
- 2020-01-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.