Individual
AMANDA MARIE JAYARAMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2675 S ABILENE ST STE 100, AURORA, CO 80014-2363
(720) 507-4779
(833) 941-5047
Mailing address
4231 E WINGED FOOT PL, CHANDLER, AZ 85249-7284
(319) 530-6550
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP10993
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AP10993
NURSE PRACTIONER
AZ
Enumeration date
03/01/2018
Last updated
08/20/2024
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