Individual provider · Type 1 NPI

Amanda Louise Mavor, APRN, AGACNP-BC

Gerontology Nurse Practitioner · Sarasota, FL

NPI number 1396442307 Active

Practice location

1941 Waldemere St Fl 4
Sarasota, FL 34239-2922

Fax (941) 951-2117

Mailing address

PO Box 102222
Atlanta, GA 30368-2222

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner 363L00000XAPRN11024610 (FL)
Oncology Registered Nurse 163WX0200XRN9455006 (FL)
Gerontology Nurse Practitioner Primary 363LG0600XAPRN11024610 (FL)
Acute Care Nurse Practitioner 363LA2100X11024610 (FL)

Gerontology Nurse Practitioner: Definition to come...

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About NPI 1396442307

Amanda Louise Mavor, APRN, AGACNP-BC's National Provider Identifier is 1396442307, issued on Feb 9, 2023. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Sarasota, FL. The record was last updated on Jun 1, 2026.