AMANDA MICHELLE WASSENAAR MLS NPI 1740951128

NPI Information

NPI: 1740951128
Provider Name: AMANDA MICHELLE WASSENAAR, MLS
Classification: Specialist/Technologist, Pathology - 246QM0706X
Entity Type: Individual

Specialization: Medical Technologist

Address:
3200 CANYON LAKE DR STE 1
RAPID CITY, SD
ZIP 57702
Phone: (605) 355-2227
Get Directions

Amanda Michelle Wassenaar, MLS is a medical technologist specialist technologist pathology in Rapid City, SD. Amanda Michelle Wassenaar, MLS NPI is 1740951128. 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:

3200 CANYON LAKE DR STE 1
RAPID CITY, SD
ZIP 57702-114
Phone: (605) 355-2227

The enumeration date for this NPI number is 9/24/2021 and was last updated on 9/24/2021.

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	246QM0706X	Specialist/Technologist, Pathology	Medical Technologist			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: 4/28/2024

NPI Synchronization or Removal

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