Individual provider · Type 1 NPI
Amanda Gideon, CPNP
Pediatric Nurse Practitioner · Richmond, VA
NPI number
1235509175
Active
Practice location
1250 E Marshall St, Main Hospital 7th Floor
Richmond, VA 23298-5051
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner Primary | 363LP0200X | 0024172959 (VA) |
Pediatric Nurse Practitioner: Definition to come...
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About NPI 1235509175
Amanda Gideon, CPNP's National Provider Identifier is 1235509175, issued on Oct 5, 2015. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Richmond, VA. The record was last updated on May 27, 2025.