Provider Demographics
NPI:1285056531
Name:HOELSCHER, AMANDA JOY (APRN)
Entity type:Individual
Prefix:MS
First Name:AMANDA
Middle Name:JOY
Last Name:HOELSCHER
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:AMANDA
Other - Middle Name:JOY
Other - Last Name:SIEKBERT / RUTTLE/GOODMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:APRN
Mailing Address - Street 1:5985 49TH ST N
Mailing Address - Street 2:
Mailing Address - City:ST PETERSBURG
Mailing Address - State:FL
Mailing Address - Zip Code:33709-2111
Mailing Address - Country:US
Mailing Address - Phone:813-966-5700
Mailing Address - Fax:
Practice Address - Street 1:5985 49TH ST N
Practice Address - Street 2:
Practice Address - City:ST PETERSBURG
Practice Address - State:FL
Practice Address - Zip Code:33709-2111
Practice Address - Country:US
Practice Address - Phone:813-966-5700
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-01-06
Last Update Date:2023-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL9283404363LA2200X, 363LA2200X
TXAP124910363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health