Amanda Ann Blanton
Individual provider Active NPI Licensed Vocational Nurse · Highland, CA
NPI 1851963763 · NPPES record last updated Jul 12, 2021
Key facts
- NPI
- 1851963763
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Vocational Nurse 164X00000X
- License
- 705958 (CA)
- Practice address
- 26208 Edgemont Dr
Highland, CA 92346-1600 - Phone
- (909) 800-2422
- NPI assigned
- Jul 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 705958 | CA | MD | Licensed Vocational Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Vocational Nurse | 164X00000X | 705958 | CA | Yes |
Addresses
Primary practice location
26208 Edgemont Dr
Highland, CA 92346-1600
Mailing address
26208 Edgemont Dr
Highland, CA 92346-1600
Phone (909) 800-2422
Other providers in Highland, CA
- John Beld
- Marian N.B. Beshara
- Lizbet Betancio
- Xiomara Betanco
- Jo Devenne Elek Sullano Bilbao
- Judy F. Blodgett
- Catherine Bodman
- Amanda Bowen
- Katherine Boyko
- Darrell Broussard II
All providers in Highland, CA · Licensed Vocational Nurse in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 12, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.