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NPI Code Detail

MEDICARE: AMANDA PEASE

MEDICARE:   AMANDA  PEASE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163WH0200XHome Health Registered Nurse882198NV

General Provider Information

NPI Number : 1326991308
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMANDA PEASE
Provider Business Mailing Address
First Line : 302 DEDICATION AVE
Second Line :
City : HENDERSON
State : NV
Zip : 89011-5497
Country : US
Telephone Number : 702-786-4219
Fax Number :
Provider Business Practice Location Address
First Line : 302 DEDICATION AVE
Second Line :
City : HENDERSON
State : NV
Zip : 89011-5497
Country : US
Telephone Number : 702-786-4219
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/18/2026
Last Update Date : 02/18/2026

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Directions to “ AMANDA PEASE ” Practice Location

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