IndividualActive
Amanda Tootsie
NPI 1316311566 · Technician · Polacca, AZ
Provider details
- NPI number
- 1316311566
- Entity type
- Individual
- Primary specialty
- TechnicianNursing Service Related Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- 901373 (AZ)
Specialties & taxonomies
Nursing Service Related Providers
Practice location
Hwy 264 Mp388
Polacca, AZ 86042
Phone: (928) 737-6000
Approximate (ZIP-level) locationGet directions
Mailing address
Hwy 264 Mp388
Polacca, AZ 86042
Registry dates
- Enumerated
- 2015-11-25
- Last updated
- 2015-11-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.