| Amanda Liles, APRN | |
|
1 11th Ave Ste C1, Shalimar, FL 32579-1300 | |
| (850) 332-5840 | |
| (850) 595-1400 |
| Full Name | Amanda Liles |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 5 Years |
| Location | 1 11th Ave Ste C1, Shalimar, Florida |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679144877 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | APRN11017500 (Florida) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Lakeview Center Inc | 3375439904 | 43 |
| Entity Name | Lakeview Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1316943772 PECOS PAC ID: 3375439904 Enrollment ID: O20040223000324 |
| Mailing Address | Practice Location Address |
|---|---|
| Amanda Liles, APRN 1221 W Lakeview Ave, Pensacola, FL 32501-1857 Ph: (850) 469-3500 | Amanda Liles, APRN 1 11th Ave Ste C1, Shalimar, FL 32579-1300 Ph: (850) 332-5840 |
Rendi Bonner, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 105 Hands Cove Ln, Shalimar, FL 32579 Phone: 806-676-9020 |
Ms. Maggie Hunter Schumacher, CNM Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 819 Boulevard Of The Champions, Shalimar, FL 32579 Phone: 201-564-5109 |
Kristine Claire Troutman, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 80 Spinnaker Ln, Shalimar, FL 32579 Phone: 850-863-7887 |