| NPI | 1871146811 |
|---|---|
| Former Name | AMANDA KALYCA MANZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: AZ PA9344) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: CO PA.0005826) |
| 364SP0808X Clinical Nurse Specialist, Psych/Mental Health (Licence: AZ PA9344) | |
| Enumeration Date | 2019-07-18 |
| Last Update Date | 2025-12-23 |