Individual provider · Type 1 NPI

Amanda A. Elfezzazi, APRN-CNP, AGPCNP

Nurse Practitioner · Checotah, OK

NPI number 1144000944 Active

Practice location

416420 Ensign Ln
Checotah, OK 74426-2287

Mailing address

PO Box 1931
Sallisaw, OK 74955-1931

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X215389 (OK)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

About NPI 1144000944

Amanda A. Elfezzazi, APRN-CNP, AGPCNP's National Provider Identifier is 1144000944, issued on Sep 29, 2023. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Checotah, OK. The record was last updated on Oct 3, 2023.