Individual
AMANDA WILKMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
1000 N SEPULVEDA BLVD STE 210, MANHATTAN BEACH, CA 90266-5973
(310) 372-9900
(310) 372-9901
Mailing address
1000 N SEPULVEDA BLVD STE 210, MANHATTAN BEACH, CA 90266-5973
(310) 372-9900
(310) 372-9901
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
22910
CA
Other
Enumeration date
02/06/2014
Last updated
11/06/2020
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