IndividualActive
Amanda Roach, BSN, RN
NPI 1295417699 · Psychiatric/Mental Health Registered Nurse · Sapulpa, OK
Provider details
- NPI number
- 1295417699
- Entity type
- Individual
- Primary specialty
- Psychiatric/Mental Health Registered NurseNursing Service Providers
- Credential
- BSN, RN
- Sex
- Female
- Sole proprietor
- Yes
- License
- R0077682 (OK)
Specialties & taxonomies
Nursing Service Providers
Practice location
23 E Ross Ave
Sapulpa, OK 74066-6423
Phone: (918) 227-2016
Approximate (ZIP-level) locationGet directions
Mailing address
23 E Ross Ave
Sapulpa, OK 74066-6423
Registry dates
- Enumerated
- 2023-08-04
- Last updated
- 2023-08-04
- Certified
- 2023-08-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.