Provider Demographics
NPI:1528159126
Name:SAXE, AMANDA (RN, NP)
Entity type:Individual
Prefix:
First Name:AMANDA
Middle Name:
Last Name:SAXE
Suffix:
Gender:F
Credentials:RN, NP
Other - Prefix:
Other - First Name:AMANDA
Other - Middle Name:
Other - Last Name:SAXE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN, NP
Mailing Address - Street 1:PO BOX 609001
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92160-9001
Mailing Address - Country:US
Mailing Address - Phone:619-528-4600
Mailing Address - Fax:619-528-4625
Practice Address - Street 1:32605 TEMECULA PKWY STE 202
Practice Address - Street 2:
Practice Address - City:TEMECULA
Practice Address - State:CA
Practice Address - Zip Code:92592-6838
Practice Address - Country:US
Practice Address - Phone:858-427-5060
Practice Address - Fax:619-383-6701
Is Sole Proprietor?:No
Enumeration Date:2006-09-27
Last Update Date:2020-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CARN612822163WP0808X
CANP16529163WP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental Health