Shaw, Amanda

Shaw, Amanda is an sole proprietor health care provider with primary practice located at 18602 Demion Ln Apt C , Huntington Beach CA 92646-8812. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Shaw, Amanda can be contacted via phone (661) 319-7834.

Contact Information

Primary practice address
18602 Demion Ln Apt C Huntington Beach CA 92646-8812
Phone: (661) 319-7834
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 95019414 California

Profile Details

NPI number 1083362560
LBN Legal business name Shaw, Amanda
Credentials PMHNP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 14th, 2022
Last updated Mar 14th, 2022 - about 2 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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