Amanda Mae Distin, - Nurse Practitioner in Eagle Lake, FL

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Amanda Mae Distin, is a Nurse Practitioner - Psychiatric/mental Health based in Eagle Lake, Florida. Amanda Mae Distin is licensed to practice in Florida (license number APRN11046724) and her current practice location is 682 E Eagle Ave, Eagle Lake, Florida. She can be reached at her office (for appointments etc.) via phone at (440) 417-4482.

NPI number for Amanda Mae Distin is 1487598769 and her current mailing address is 682 E Eagle Ave, Eagle Lake, Florida. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1487598769.

Contact Information

Amanda Mae Distin,
682 E Eagle Ave,
Eagle Lake, FL 33839-3238
(440) 417-4482
Not Available

Map and Direction




Provider's Profile

Full NameAmanda Mae Distin
GenderFemale
SpecialityNurse Practitioner - Psychiatric/mental Health
Location682 E Eagle Ave, Eagle Lake, Florida
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1487598769
  • Provider Enumeration Date: 04/16/2026
  • Last Update Date: 04/16/2026

Medical Identifiers

Medical identifiers for Amanda Mae Distin such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1487598769NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0808XNurse Practitioner - Psychiatric/mental Health APRN11046724 (Florida)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Amanda Mae Distin is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Amanda Mae Distin,
682 E Eagle Ave,
Eagle Lake, FL 33839-3238

Ph: (440) 417-4482		Amanda Mae Distin,
682 E Eagle Ave,
Eagle Lake, FL 33839-3238

Ph: (440) 417-4482

Reviews and Comments


Nurse Practitioner Nurses in Eagle Lake, FL


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