AMANDA SHAW PMHNP NPI 1083362560

NPI Information

NPI: 1083362560
Provider Name: AMANDA SHAW, PMHNP
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

Address:
18602 DEMION LN APT C
HUNTINGTON BEACH, CA
ZIP 92646
Phone: (661) 319-7834
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Amanda Shaw, PMHNP is a psychiatric/mental health nurse practitioner in Huntington Beach, CA. Amanda Shaw, PMHNP NPI is 1083362560. 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:

18602 DEMION LN APT C
HUNTINGTON BEACH, CA
ZIP 92646-812
Phone: (661) 319-7834

The enumeration date for this NPI number is 3/14/2022 and was last updated on 3/14/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	95019414	CALIFORNIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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