Individual
AMANDA MICHELLE ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5300 SOQUEL AVE, SANTA CRUZ, CA 95062-7805
(831) 540-4141
Mailing address
5300 SOQUEL AVE, SANTA CRUZ, CA 95062-7805
(831) 540-4141
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
VN754319
CA
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
03/31/2012
Last updated
02/26/2026
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