Individual
MS. AMANDA MCBRIDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
530 UNION AVE, FAIRFIELD, CA 94533-6367
(707) 784-7150
Mailing address
530 UNION AVE, FAIRFIELD, CA 94533-6367
(707) 784-7150
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
95015560
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
95081594
CA BRN
CA
Enumeration date
08/23/2020
Last updated
09/29/2020
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