Individual
AMANDA CINQUEGRANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
136 N SAN MATEO DR FL 2, SAN MATEO, CA 94401-2778
(650) 348-1242
(650) 348-0788
Mailing address
3916 FERNWOOD ST, SAN MATEO, CA 94403-4163
(813) 263-4905
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
95013217
CA
363LF0000X
Family Nurse Practitioner
ARNP9293637
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
019227900
—
FL
01
—
2O62N
BLUE CROSS BLUE SHIELD
FL
Enumeration date
10/24/2016
Last updated
03/05/2020
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