| NPI | 1639723711 |
|---|---|
| Former Name | AMANDA MARIE OLIVAS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WI 9411-33) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IL 209027460) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NM 78942) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: VT 101.0137083TELE) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL TPAN1844) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX 1165069) | |
| Enumeration Date | 2019-07-28 |
| Last Update Date | 2025-12-26 |