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Individual

JUSTIN MICHAEL-ALLEN AMADOR

Active
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Individual

JUSTIN MICHAEL-ALLEN AMADOR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
FNP

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
202204598NP-PP
OR
363LF0000X
Family Nurse Practitioner
207265
AK
363LF0000X
Family Nurse Practitioner
356085
NY
363LF0000X
Family Nurse Practitioner
853522
NV
363LF0000X
Family Nurse Practitioner
Primary
95004179
CA
363LF0000X
Family Nurse Practitioner
AP61379785
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
202204598NP-PP
NP LICENSE NUMBER
OR
01
—
207265
NP LICENSE NUMBER
AK
01
—
356085
NP LICENSE NUMBER
NY
01
—
853522
NP LICENSE NUMBER
NV
01
—
95004179
NP LICENSE NUMBER
CA
01
—
AP61379785
NP LICENSE NUMBER
WA
Enumeration date
04/15/2011
Last updated
05/05/2025
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