Healthcare Provider Details

I. General information

NPI: 1669328993
Provider Name (Legal Business Name): AMANDA SPLINTER NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/09/2026
Last Update Date: 03/09/2026
Certification Date: 03/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4080 CAVITT STALLMAN RD STE 100A
GRANITE BAY CA
95746-9049
US

IV. Provider business mailing address

4080 CAVITT STALLMAN RD STE 100A
GRANITE BAY CA
95746-9049
US

V. Phone/Fax

Practice location:
  • Phone: 916-771-0715
  • Fax:
Mailing address:
  • Phone: 916-771-0715
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number95037815
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: