MEDICARE: AMANDA MATTEI AU.D.

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	237600000X	Audiologist-Hearing Aid Fitter	DA17472	AZ

General Provider Information

NPI Number	:	1881520534
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AMANDA MATTEI AU.D.

Provider Business Mailing Address
First Line	:	1571 N PINE CLIFF DR APT 2804
Second Line	:
City	:	FLAGSTAFF
State	:	AZ
Zip	:	86001-3450
Country	:	US
Telephone Number	:	909-731-2573
Fax Number	:

Provider Business Practice Location Address
First Line	:	77 W FOREST AVE STE 305
Second Line	:
City	:	FLAGSTAFF
State	:	AZ
Zip	:	86001-1481
Country	:	US
Telephone Number	:	928-773-2222
Fax Number	:

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

Provider Enumeration Date	:	06/22/2026
Last Update Date	:	06/22/2026

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