Provider Demographics
NPI:1619869963
Name:SMAILES, AMANDA CELIA ESCOBAR (DNP, FNP-C)
Entity type:Individual
Prefix:DR
First Name:AMANDA
Middle Name:CELIA ESCOBAR
Last Name:SMAILES
Suffix:
Gender:F
Credentials:DNP, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:728 FENTRESS RD
Mailing Address - Street 2:
Mailing Address - City:CHESAPEAKE
Mailing Address - State:VA
Mailing Address - Zip Code:23322-3408
Mailing Address - Country:US
Mailing Address - Phone:757-513-5056
Mailing Address - Fax:
Practice Address - Street 1:728 FENTRESS RD
Practice Address - Street 2:
Practice Address - City:CHESAPEAKE
Practice Address - State:VA
Practice Address - Zip Code:23322-3408
Practice Address - Country:US
Practice Address - Phone:757-513-5056
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-18
Last Update Date:2025-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0001240565163W00000X, 363LF0000X
NC0001240565363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse