# AMANDA OMOROGBE

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1295422525
- **Gender:** F
- **Credential:** NP

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163W00000X | Registered Nurse | 95280054 | CA | — |
| 163W00000X | Registered Nurse | RN284331 | GA | — |
| 163WC0200X | Critical Care Medicine Registered Nurse | RN284331 | GA | — |
| 363LA2100X | Acute Care Nurse Practitioner | 95033098 | CA | — |
| 363LG0600X | Gerontology Nurse Practitioner | 95033098 | CA | — |
| 363LG0600X | Gerontology Nurse Practitioner | RN284331 | GA | Yes |

## Other

- **Enumeration date:** 04/18/2023
- **Last updated:** 03/30/2025