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

Mrs. Amanda Lyle Tullidge, AGACNP

Individual provider Nurse Practitioner · NPI 1609595842

Mrs. Amanda Lyle Tullidge, AGACNP is a Nurse Practitioner in North Chesterfield, Virginia. Licensed in Virginia. Registered with an NPI since 2022.

Licensed in
VA
In the registry since
2022

Practice location Address checks out

223 Wadsworth Dr
North Chesterfield, VA 23236-4510
Phone: (804) 330-4021
Show map & directions

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

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 0024184922 (VA)

Record details

NPI number1609595842
Entity typeIndividual (Type 1)
GenderFemale
Credentials AGACNP
Sole proprietorNo
NPI enumeratedAugust 23, 2022
Last updated in NPPESMay 2, 2024
Certification dateMay 2, 2024

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