Macklin, Amanda Sue

Macklin, Amanda Sue is an sole proprietor health care provider with primary practice located at 426 Sw Hayworth Dr Unit 203 , Port Orchard WA 98367-5015. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Macklin, Amanda Sue can be contacted via phone (253) 313-2284.

Contact Information

Primary practice address
426 Sw Hayworth Dr Unit 203 Port Orchard WA 98367-5015
Phone: (253) 313-2284
Fax: (253) 276-6907
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X N360791741 Washington
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X AP60784445 Washington

Profile Details

NPI number 1740707967
LBN Legal business name Macklin, Amanda Sue
Credentials ARNP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 28th, 2017
Last updated Aug 4th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1740707967 NPPES
Washington MEDICAID 2087977

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