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Amanda M Imai, NP
Family Nurse Practitioner in Tustin, California
NPI 1508195231

Amanda M Imai is a Family Nurse Practitioner based in Tustin, CA and is specialized in Family. Amanda M Imai practices in Tustin, CA and has the professional credentials of NP. The NPI Number for Amanda M Imai is 1508195231 and holds a License No. 18741 (California).

The current practice location address for Amanda M Imai is 2742 Dow Ave, Tustin, CA and can be reached out via phone at 714-665-1600.

Location: 2742 Dow Ave, Tustin, CA, 92780-7242
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1508195231
Provider Name
Amanda M Imai
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
2742 Dow Ave, Tustin, CA, 92780-7242
Phone Number
714-665-1600
Fax Number
Provider Enumeration Date
12/08/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
18741 01 CA NURSE PRACTITIONER
571054 01 CA CALIFORNIA REGISTERED NURSE
institution
Provider Business Practice Location Address Details
Address
2742 Dow Ave
City
Tustin
State
California
Zip
92780-7242
Phone Number
714-665-1600
Fax Number
person
Provider Business Mailing Address Details
Address
2742 Dow Ave
City
Tustin
State
California
Zip
92780-7242
Phone Number
714-665-1600
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
18741 (California)
Definition
Definition to come...
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