AMANDA K KRUTKE


Address: 107 Omni Dr, Suite A, Seneca, SC 29672-9448
Phone: 8648857886

AMANDA K KRUTKE (NPI# 1861702532) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1861702532
Entity Type Individual
Full Name AMANDA K KRUTKE
Credential ACNS-BC
Practice Address 107 Omni Dr
Suite A
Seneca
SC 29672-9448
Mailing Address 540 W North St
Ste 206207
Manhattan
IL 60442-8201
Practice Telephone 8648857886
Mailing Telephone 8154787866
Enumeration Date 2010-10-15
Last Update Date 2018-08-10
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 364SA2200X Clinical Nurse Specialist
Specialization: Adult Health
18259 SC Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 107 OMNI DR
SUITE A
City SENECA
State SC
Zip Code 29672-9448

Providers in the same location

NPI Name Taxonomy Address Enumeration
1497731368 Palmetto Surgery Associates, Pa Surgery 107 Omni Dr, Suite B, Seneca, SC 29672-9448 2005-12-21
1245596519 Keowee Family Urology Durable Medical Equipment & Medical Supplies 107 Omni Dr, Suite A, Seneca, SC 29672-9448 2012-04-11
1972532380 Steven Keith Lawton Urology 107 Omni Dr, Suite A, Seneca, SC 29672-9448 2006-06-30
1841247517 Robert Kapusta Nurse Practitioner 107 Omni Dr, Suite A, Seneca, SC 29672-9448 2006-05-28
1588636138 Kevin O Brien Internal Medicine 107 Omni Dr, Ste B, Seneca, SC 29672-9448 2006-02-07

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1790308955 Pooja Kamboj Student in an Organized Health Care Education/Training Program 139 Lila Doyle Dr., Seneca, SC 29672 2020-05-22
1578126785 Johanna Marie Scarino Lemons Lactation Consultant, Non-RN 504 Willow Branch Ln, Seneca, SC 29672 2019-04-15
1982067971 Marthe Melanie Bryant Connah Family Medicine 139 Lila Doyle Drive, Family Medicine Residency - Oconee, Seneca, SC 29672 2016-03-29
1558733220 Alyssa K. Locke Occupational Therapist 101 S-37-349, Seneca, SC 29672 2015-10-21
1497857742 Pulmonary Critical Care & Sleep Associates Pa Clinic/Center 107 Omni Drive, Suite A, Seneca, SC 29672 2006-09-05
1659381440 Timothy Aaron Zeller Family Medicine 139 Lila Doyle Dr, Seneca, SC 29672 2006-08-08
1871546978 Samuel Thomas Drake Specialist 103 Omni Dr Ste A, Seneca, SC 29672 2006-05-18
1235123878 Nancy Matz Thiel Chiropractor 355 Katelynn Lane, Seneca, SC 29672 2005-09-09
1265439954 David E Heape Emergency Medicine 298 Memoral Drive, Oconee Memorial Hospital, Seneca, SC 29672 2005-07-07
1407345846 Prisma Health-upstate Clinic/Center 139 Lila Doyle Drive, Seneca, SC 29672 2018-05-01
Find all providers in zip 29672

Taxonomy Information

Taxonomy Code 364SA2200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Clinical Nurse Specialist
Specialization Adult Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1942579347 Angela Hebert Hayden Np Clinical Nurse Specialist 400-4 College Ave, Suite 3, Clemson, SC 29631-2925 2011-12-14
1710291455 Linda Ramsey Bright Clinical Nurse Specialist 103 Bee Street, Charleston, SC 29403 2010-08-05
1568604338 Shannon Bright Smith Clinical Nurse Specialist 400 Magnolia St # 135a, Orangeburg, SC 29115-6815 2009-03-25
1790967131 Pamela Bearden Clinical Nurse Specialist 160 Rutledge Ave, Charleston, SC 29403-5821 2007-11-28
1295169241 Tolvalyn Shinia Dennison Clinical Nurse Specialist 8 Richland Medical Park Dr, Suite 300, Columbia, SC 29203-8005 2013-08-27
1699112425 Kelly Marie Pabst Clinical Nurse Specialist 2085 Henry Tecklenburg Dr, Suite 320, Charleston, SC 29414-7710 2013-06-03
1922362052 Melissa Renee Bouassaba Clinical Nurse Specialist 200 Patewood Dr Ste B350, Greenville, SC 29615-6337 2012-07-03
1164668224 Christine M Moffett Clinical Nurse Specialist 109 Bee St, Charleston, SC 29401-5703 2008-12-19
1831213545 Donna D Burroughs Clinical Nurse Specialist 100 Healthy Way, Suite 1210, Anderson, SC 29621-7915 2007-03-19

Competitor

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City SENECA
Zip Code 29672

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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