Organization
AMANDA WILKMAN, NP PSYCHIATRIC NURSING, REMEDIUM INC
Active
Other names
Remedium
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA WILKMAN PMHNP-BC (PRESIDENT)
(310) 372-9900
Entity
Organization
Contact information
Practice address
1000 N SEPULVEDA BLVD STE 210, MANHATTAN BEACH, CA 90266-5973
(310) 372-9900
Mailing address
206 15TH ST APT B, MANHATTAN BEACH, CA 90266-4695
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1326462672
NPI TYPE 1
—
01
—
1437329869
NPI TYPE 1
—
Enumeration date
06/17/2020
Last updated
01/04/2021
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