Individual provider · Type 1 NPI

Amanda Lyle Tullidge, AGACNP

Nurse Practitioner · North Chesterfield, VA

NPI number 1609595842 Active

Practice location

223 Wadsworth Dr
North Chesterfield, VA 23236-4510

Call (804) 330-4021 Map

Mailing address

165 Wadsworth Dr
North Chesterfield, VA 23236-4500

Specialties and licenses

Taxonomy	Code	License
Nurse Practitioner Primary	363L00000X	0024184922 (VA)

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…

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About NPI 1609595842

Amanda Lyle Tullidge, AGACNP's National Provider Identifier is 1609595842, issued on Aug 23, 2022. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in North Chesterfield, VA. The record was last updated on May 2, 2024.