Provider Demographics
NPI:1699249078
Name:LAPRADD, AMANDA BANKS (CRNP)
Entity type:Individual
Prefix:
First Name:AMANDA
Middle Name:BANKS
Last Name:LAPRADD
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:208 FOREST HOME DR
Mailing Address - Street 2:
Mailing Address - City:TRINITY
Mailing Address - State:AL
Mailing Address - Zip Code:35673-6408
Mailing Address - Country:US
Mailing Address - Phone:256-303-4811
Mailing Address - Fax:
Practice Address - Street 1:350 TENNESSEE ST
Practice Address - Street 2:
Practice Address - City:COURTLAND
Practice Address - State:AL
Practice Address - Zip Code:35618-3357
Practice Address - Country:US
Practice Address - Phone:256-637-8033
Practice Address - Fax:256-637-9424
Is Sole Proprietor?:No
Enumeration Date:2019-01-18
Last Update Date:2023-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-118355363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily