Individual
AMANDA BURSHIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
401 W RIVERSIDE DR, PARKER, AZ 85344-5225
(928) 669-9201
Mailing address
401 RIVERSIDE DR, MOHAVE VALLEY, AZ 86440-8420
(928) 669-9201
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN166750
AZ
163WE0003X
Emergency Registered Nurse
Primary
RN166750
AZ
363L00000X
Nurse Practitioner
Primary
299300
AZ
Other
Enumeration date
07/03/2019
Last updated
02/19/2026
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