Provider Demographics
NPI:1962982850
Name:MCGEE, AMANDA (RN)
Entity type:Individual
Prefix:
First Name:AMANDA
Middle Name:
Last Name:MCGEE
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
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Mailing Address - Street 1:2730 ARIANE DR UNIT 67
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92117-3446
Mailing Address - Country:US
Mailing Address - Phone:619-232-3040
Mailing Address - Fax:619-232-3041
Practice Address - Street 1:711 4TH AVE STE 200
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92101-6863
Practice Address - Country:US
Practice Address - Phone:619-232-3040
Practice Address - Fax:619-232-3041
Is Sole Proprietor?:No
Enumeration Date:2018-08-20
Last Update Date:2018-08-20
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CA7291712086S0122X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0122XAllopathic & Osteopathic PhysiciansSurgeryPlastic and Reconstructive Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA729171OtherREGISTERED NURSE