Individual
AMANDA MACKANOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
18-1228 KONA STREET, MOUNTAIN VIEW, HI 96771
(808) 797-2621
(808) 452-1306
Mailing address
301 WHITE OAK RD, SOMERSET, PA 15501-8548
(814) 937-9315
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
10045008
OR
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
APRN-5157
HI
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
SP032496
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104477680
—
PA
05
—
12097
—
HI
Enumeration date
03/31/2025
Last updated
01/02/2026
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