Healthcare Provider Details

I. General information

NPI: 1073060679
Provider Name (Legal Business Name): AMANDA SADOWSKY DNP, APRN, CPNP-AC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: AMANDA OLSON

II. Dates (important events)

Enumeration Date: 09/01/2016
Last Update Date: 08/04/2026
Certification Date: 08/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1975 4TH ST
SAN FRANCISCO CA
94143-2351
US

IV. Provider business mailing address

250 SMITH CHURCH RD FL 2
ROANOKE RAPIDS NC
27870-4914
US

V. Phone/Fax

Practice location:
  • Phone: 415-353-1352
  • Fax:
Mailing address:
  • Phone:
  • Fax: 414-266-3563

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LP0222X
TaxonomyCritical Care Pediatric Nurse Practitioner
License NumberNP95038603
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code363LP0222X
TaxonomyCritical Care Pediatric Nurse Practitioner
License Number322015
License Number StateAZ
# 3
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberNP95038603
License Number StateCA
# 4
Primary TaxonomyN
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License Number5015378
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: