MEDICARE: AMANDA N FITZSIMMONS AU.D.

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
1	237600000X	Audiologist-Hearing Aid Fitter

General Provider Information

NPI Number	:	1487212775
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AMANDA N FITZSIMMONS AU.D.

Provider Business Mailing Address
First Line	:	1625 N 87TH ST
Second Line	:
City	:	SCOTTSDALE
State	:	AZ
Zip	:	85257-2922
Country	:	US
Telephone Number	:	480-429-0026
Fax Number	:	480-429-0028

Provider Business Practice Location Address
First Line	:	1625 N 87TH ST
Second Line	:
City	:	SCOTTSDALE
State	:	AZ
Zip	:	85257-2922
Country	:	US
Telephone Number	:	480-429-0026
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/31/2019
Last Update Date	:	06/26/2026

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