Individual
AMANDA CHAMBERLAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSN, RN
Contact information
Practice address
100 N MARIO CAPECCHI DR, SALT LAKE CITY, UT 84113-1103
(801) 662-4000
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
Taxonomy
Speciality
Code
Description
License number
State
163WN0002X
Neonatal Intensive Care Registered Nurse
284880-3102
UT
363L00000X
Nurse Practitioner
Primary
284880-4405
UT
Other
Enumeration date
02/20/2026
Last updated
08/07/2026
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