AMANDA WADDELL F.N.P.
NPI 1306378641
Nurse Practitioner - Family in San Jose, CA
Active since March 28, 2017
About Amanda Waddell F.n.p. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
AMANDA WADDELL F.N.P. (NPI 1306378641) is an individual family provider in San Jose, California, licensed in California (95005725) and active in the NPI registry since March 2017.
NPPES Registry Identity
NPI1306378641
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameAMANDA WADDELLCredential: F.N.P.
Location Address1375 BLOSSOM HILL RD, SUITE 49San Jose, CA 95118-3806
Mailing Address1375 Blossom Hill Rd, Suite 49San Jose, CA 95118-3806
Phone(408) 758-5650
Sole ProprietorNo
Enumeration DateMarch 28, 2017
✔ NPI 1306378641 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in CA · 95005725
1375 BLOSSOM HILL RD, San Jose, CA 95118
Other Providers at the Same Location NPPES 7
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1306378641, enumerated as an "individual" on March 28, 2017.
The provider is located at 1375 BLOSSOM HILL RD SUITE 49 SAN JOSE, CA 95118 and the phone number is (408) 758-5650.
Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.
