Healthcare Provider Details

I. General information

NPI: 1851807739
Provider Name (Legal Business Name): MRS. CHRISTIE AMANS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/14/2017
Last Update Date: 12/14/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1616 W WELLESLEY AVE STE A
SPOKANE WA
99205-1413
US

IV. Provider business mailing address

1616 W WELLESLEY AVE STE A
SPOKANE WA
99205-1413
US

V. Phone/Fax

Practice location:
  • Phone: 509-835-5898
  • Fax:
Mailing address:
  • Phone: 509-835-5898
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code372500000X
TaxonomyChore Provider
License NumberIHS.FS.60596369
License Number StateWA
# 2
Primary TaxonomyN
Taxonomy Code372600000X
TaxonomyAdult Companion
License NumberIHS.FS.60596369
License Number StateWA
# 3
Primary TaxonomyN
Taxonomy Code376J00000X
TaxonomyHomemaker
License NumberIHS.FS.60596369
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: