Individual
AMANDA ROSE ROSALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
14355 MIRANDA WAY, LOS ALTOS HILLS, CA 94022-2032
(888) 731-8994
Mailing address
14355 MIRANDA WAY, LOS ALTOS HILLS, CA 94022-2032
(888) 731-8994
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
759463
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
334610801
—
TX
01
—
8335NK
BCBS
TX
Enumeration date
07/19/2012
Last updated
08/23/2023
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