Healthcare Provider Details

I. General information

NPI: 1083338974
Provider Name (Legal Business Name): AMANDA RASHID BSN, RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/04/2022
Last Update Date: 10/04/2022
Certification Date: 10/03/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8314 W ALICE AVE
PEORIA AZ
85345-7919
US

IV. Provider business mailing address

8314 W ALICE AVE
PEORIA AZ
85345-7919
US

V. Phone/Fax

Practice location:
  • Phone: 602-446-9967
  • Fax:
Mailing address:
  • Phone: 602-446-9967
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WC1500X
TaxonomyCommunity Health Registered Nurse
License NumberRN207353
License Number StateAZ
# 2
Primary TaxonomyN
Taxonomy Code163WG0000X
TaxonomyGeneral Practice Registered Nurse
License NumberRN207353
License Number StateAZ
# 3
Primary TaxonomyN
Taxonomy Code163WH0200X
TaxonomyHome Health Registered Nurse
License NumberRN207353
License Number StateAZ
# 4
Primary TaxonomyN
Taxonomy Code163WI0500X
TaxonomyInfusion Therapy Registered Nurse
License NumberRN207353
License Number StateAZ
# 5
Primary TaxonomyN
Taxonomy Code163WW0000X
TaxonomyWound Care Registered Nurse
License NumberRN207353
License Number StateAZ
# 6
Primary TaxonomyN
Taxonomy Code163WX1500X
TaxonomyOstomy Care Registered Nurse
License NumberRN207353
License Number StateAZ
# 7
Primary TaxonomyY
Taxonomy Code163WM1400X
TaxonomyNurse Massage Therapist (NMT)
License NumberRN207353
License Number StateAZ
# 8
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN207353
License Number StateAZ
# 9
Primary TaxonomyN
Taxonomy Code163WC0400X
TaxonomyCase Management Registered Nurse
License NumberRN207353
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: