Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Amanda Glynne Borden

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1770043002

Amanda Glynne Borden is a Student in an Organized Health Care Education/Training Program in St Petersburg, Florida. Licensed in Virginia. Registered with an NPI since 2019.

Licensed in
VA
In the registry since
2019
Specialties on file
2

Practice location Address checks out

501 6th Ave S
St Petersburg, FL 33701-4634
Phone: (727) 767-4106
Fax: (727) 767-8804
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 0101274586 (VA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1770043002
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 22, 2019
Last updated in NPPESAugust 2, 2022
Certification dateAugust 2, 2022

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