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Individual

AMANDA MARIE CHRISTIAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN, CNM

Contact information

Practice address
1860 PENNSYLVANIA AVE STE 300, FAIRFIELD, CA 94533-3550
(707) 646-4100
Mailing address
4500 BUSINESS CENTER DR, FAIRFIELD, CA 94534-6888

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
APRN001324
NV
367A00000X
Advanced Practice Midwife
Primary
236543
CA
367A00000X
Advanced Practice Midwife
APRN001324
NV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
12401844
CAQH
05
1972891273
NV
Enumeration date
07/20/2011
Last updated
02/25/2026
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