Individual
MS. AMANDA TRACEY DUGGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
24972 AVENIDA VERANEO, LAKE FOREST, CA 92630-2226
(949) 285-9169
Mailing address
24972 AVENIDA VERANEO, LAKE FOREST, CA 92630-2226
(949) 285-9169
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
9503348
CA
Other
Enumeration date
12/24/2024
Last updated
12/24/2024
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