Vergel De Dios, Amanda Mae

Vergel De Dios, Amanda Mae is an individual health care provider with primary practice located at 1300 N Dutton Ave , Santa Rosa CA 95401-7112. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Community Health Worker, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Vergel De Dios, Amanda Mae can be contacted via phone (707) 396-5151.

Contact Information

Primary practice address
1300 N Dutton Ave Santa Rosa CA 95401-7112
Phone: (707) 396-5151
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Community Health Worker 172V00000X
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 95025863 California

Profile Details

NPI number 1679069058
LBN Legal business name Vergel De Dios, Amanda Mae
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 9th, 2018
Last updated Jul 31st, 2023 - about last year

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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