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

Amanda Mae Distin

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1487598769

Amanda Mae Distin is a Psychiatric/Mental Health Nurse Practitioner in Eagle Lake, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2026

Practice location Address checks out

682 E Eagle Ave
Eagle Lake, FL 33839-3238
Phone: (440) 417-4482
Show map & directions

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

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence APRN11046724 (FL)

Record details

NPI number1487598769
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedApril 16, 2026
Last updated in NPPESApril 16, 2026
Certification dateMarch 20, 2026
Mailing address682 E Eagle Ave, Eagle Lake, FL 33839-3238