Doctor Name: | AMANDA BAER JAMES |
NPI Number: | 1831295484 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | FNP |
License Number: | NP9942 |
Business Practice Address: | 38883 Highway 299 Willow Creek, CA - 95573 |
Business Phone Number: | 5305293111 |
Business Fax Number: | 5305293122 |
Mailing Address: | 670 9th St, Suite 203 ARCATA |
State: | CA |
Postal Code: | 955216248 |
Phone Number: | 7078268633 |
Fax Number: | 7078268638 |
NPI Enumeration Date: | 09/14/2006 |
NPI Last Update Date: | 12/08/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | NP9942 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |