| Amanda Vicknair, APRN, NP-C | |
|
971 Airport Rd, Destin, FL 32541-2803 | |
| (850) 654-4641 | |
| (850) 654-9295 |
| Full Name | Amanda Vicknair |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 971 Airport Rd, Destin, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891243788 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 1-148942 (Alabama) | Primary |
| 363LF0000X | Nurse Practitioner - Family | 3010695 (Kentucky) | Secondary |
| Entity Name | National Allergy Asthma & Urticaria Centers Of Charleston, Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023103850 PECOS PAC ID: 4385653054 Enrollment ID: O20060410000116 |
| Mailing Address | Practice Location Address |
|---|---|
| Amanda Vicknair, APRN, NP-C 971 Airport Rd, Destin, FL 32541-2803 Ph: (850) 654-4641 | Amanda Vicknair, APRN, NP-C 971 Airport Rd, Destin, FL 32541-2803 Ph: (850) 654-4641 |
Mrs. Kandyce L Silver, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4495 Furling Ln Ste 210, Destin, FL 32541 Phone: 850-460-8483 Fax: 833-645-0014 | |
Stacey Farrell, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4477 Legendary Dr Ste 201, Destin, FL 32541 Phone: 850-736-1251 | |
Felix J Oyugi-summers, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1241 Airport Rd Ste M, Destin, FL 32541 Phone: 850-460-7090 Fax: 850-522-5491 | |
Katherine Elizabeth Booth, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 90 Country Club Dr W, Destin, FL 32541 Phone: 651-707-4237 | |
Julia Andreyevna Drevinskas, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4718 Amhurst Cir, Destin, FL 32541 Phone: 850-225-8499 | |
Dia Bobb, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 36468 Emerald Coast Pkwy Ste 7102, Destin, FL 32541 Phone: 850-842-3256 Fax: 850-353-2561 | |
Mrs. Christie Sumrall Levi, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 233 Wekiva Cv, Destin, FL 32541 Phone: 850-963-7219 |