Peacock, Amanda Dawn

Peacock, Amanda Dawn is an individual health care provider with primary practice located at 368 Fell St , San Francisco CA 94102-5144. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Gerontology, Physician Assistants & Advanced Practice Nursing Providers / Adult Health. Physician Assistants & Advanced Practice Nursing Providers / Adult Health is her primary health care specialty. Peacock, Amanda Dawn can be contacted via phone (415) 861-0828.

Contact Information

Primary practice address
368 Fell St San Francisco CA 94102-5144
Phone: (415) 861-0828
Fax: (415) 861-0257
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X J120679 Iowa
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X H-120679 Iowa
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 364SA2200X 95004519 California

Profile Details

NPI number 1134406184
LBN Legal business name Peacock, Amanda Dawn
Credentials ANP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 4th, 2011
Last updated Dec 10th, 2016 - about 8 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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