Individual
AMANDA MARIE MCMICHAEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NNP-BC
Contact information
Practice address
3010 CHILDRENS WAY, SAN DIEGO, CA 92123-4223
(858) 966-5818
Mailing address
3020 CHILDRENS WAY # MC5003, SAN DIEGO, CA 92123-4223
(858) 966-5818
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
NP95012325
CA
Other
Enumeration date
07/25/2019
Last updated
07/13/2023
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