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Amanda Marie Staley
Family Nurse Practitioner in Loma Linda, California
NPI 1740826601

Amanda Marie Staley is a Family Nurse Practitioner based in Loma Linda, CA and is specialized in Family. Amanda Marie Staley practices in Loma Linda, CA. The NPI Number for Amanda Marie Staley is 1740826601 and holds a License No. 95011691 (California).

The current practice location address for Amanda Marie Staley is 11175 Campus St Ste 11120, Loma Linda, CA and can be reached out via phone at 909-558-8291.

Location: 11175 Campus St Ste 11120, Loma Linda, CA, 92350-1700
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1740826601
Provider Name
Amanda Marie Staley
Credential
Provider Entity Type
Individual
Gender
Female
Address
11175 Campus St Ste 11120, Loma Linda, CA, 92350-1700
Phone Number
909-558-8291
Fax Number
Provider Enumeration Date
11/25/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
11175 Campus St Ste 11120
City
Loma Linda
State
California
Zip
92350-1700
Phone Number
909-558-8291
Fax Number
person
Provider Business Mailing Address Details
Address
11175 Campus St Ste 11120
City
Loma Linda
State
California
Zip
92350-1700
Phone Number
909-558-8291
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
95011691 (California)
Definition
Definition to come...
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