Individual
AMANDA WITTMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1600 EUREKA RD, ROSEVILLE, CA 95661-3027
(916) 784-4000
Mailing address
3350 SKY LN, SHINGLE SPRINGS, CA 95682-8815
(614) 537-8610
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
95000922
CA
Other
Enumeration date
07/12/2018
Last updated
01/03/2022
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