Provider Demographics
NPI:1487212775
Name:FITZSIMMONS, AMANDA N (AUD)
Entity type:Individual
Prefix:
First Name:AMANDA
Middle Name:N
Last Name:FITZSIMMONS
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:AMANDA
Other - Middle Name:N
Other - Last Name:BLACKBURN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:AUD
Mailing Address - Street 1:1625 N 87TH ST
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85257-2922
Mailing Address - Country:US
Mailing Address - Phone:480-429-0026
Mailing Address - Fax:
Practice Address - Street 1:1625 N 87TH ST
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85257-2922
Practice Address - Country:US
Practice Address - Phone:480-429-0026
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-05-31
Last Update Date:2024-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter