Amanda Wilson is a clinical laboratory director and non-physician pathology in Phoenix, AZ. The provider is an individual who is state-licensed as a clinical laboratory director and meets the qualifications in the Clinical Laboratory Improvement Amendments of 1988 for non-physicians (non-MD/DO) as defined in the CFR 42 Part 493.1405. Amanda Wilson NPI is 1043979214. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a female.
The provider's business location address is:
411 E INDIAN SCHOOL RD APT 2119
PHOENIX, AZ
ZIP 85012-886
Phone: (480) 241-2197
The enumeration date for this NPI number is 12/15/2021 and was last updated on 12/15/2021.