Amanda Marie Andujar

Individual provider Active NPI Case Manager/Care Coordinator · Roy, WA

NPI 1689336133 · NPPES record last updated Oct 12, 2021

Key facts

NPI
1689336133
Entity type
Individual (NPI type 1)
Primary specialty
Case Manager/Care Coordinator 171M00000X
Practice address
4609 362ND St S
Roy, WA 98580-9289
Phone
(907) 321-4886
NPI assigned
Oct 12, 2021
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X Yes

Addresses

Primary practice location

4609 362ND St S
Roy, WA 98580-9289

Mailing address

4609 362ND St S
Roy, WA 98580-9289
Phone (907) 321-4886

Electronic endpoints

TypeEndpointUseAffiliation
Direct Messaging Address amandamandujar@hotmail.com Direct

Other providers in Roy, WA

All providers in Roy, WA · Case Manager/Care Coordinator in Washington

Sources for this page

Verify at the official NPI Registry.