Individual provider · Type 1 NPI

Amanda Dittmer, APRN

Psychiatric/Mental Health Nurse Practitioner · Port Charlotte, FL

NPI number 1134572274 Active

Practice location

3191 Harbor Blvd Ste B
Port Charlotte, FL 33952-6755

Call (941) 883-4518 Map

Mailing address

6360 Techster Blvd Ste 1
Fort Myers, FL 33966-4805

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808XAPRN9268426 (FL)
Pediatric Nurse Practitioner 363LP0200XAPRN9268426 (FL)

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

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About NPI 1134572274

Amanda Dittmer, APRN's National Provider Identifier is 1134572274, issued on Jul 13, 2016. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Port Charlotte, FL. The record was last updated on Jun 5, 2019.