MEDICARE: AMANDA RASHID BSN, RN

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	163WC1500X	Community Health Registered Nurse	RN207353	AZ
2	163WG0000X	General Practice Registered Nurse	RN207353	AZ
3	163WH0200X	Home Health Registered Nurse	RN207353	AZ
4	163WI0500X	Infusion Therapy Registered Nurse	RN207353	AZ
5	163WW0000X	Wound Care Registered Nurse	RN207353	AZ
6	163WX1500X	Ostomy Care Registered Nurse	RN207353	AZ
7	163WM1400X	Nurse Massage Therapist (NMT)	RN207353	AZ
8	163W00000X	Registered Nurse	RN207353	AZ
9	163WC0400X	Case Management Registered Nurse	RN207353	AZ

General Provider Information

NPI Number	:	1083338974
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AMANDA RASHID BSN, RN

Provider Business Mailing Address
First Line	:	8314 W ALICE AVE
Second Line	:
City	:	PEORIA
State	:	AZ
Zip	:	85345-7919
Country	:	US
Telephone Number	:	602-446-9967
Fax Number	:

Provider Business Practice Location Address
First Line	:	8314 W ALICE AVE
Second Line	:
City	:	PEORIA
State	:	AZ
Zip	:	85345-7919
Country	:	US
Telephone Number	:	602-446-9967
Fax Number	:

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

Provider Enumeration Date	:	10/04/2022
Last Update Date	:	10/04/2022

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