Individual
MS. AMANDA C. FISHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
250 LOCUST ST, SANTA CRUZ, CA 95060-3813
(831) 427-3500
Mailing address
PO BOX 542, SANTA CRUZ, CA 95061-0542
(831) 427-3500
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
58511
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1780213363
—
CA
Enumeration date
04/06/2020
Last updated
08/08/2024
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