IndividualActive
Amanda Stasiak, PMHNP
NPI 1376371229 · Psychiatric/Mental Health Nurse Practitioner · Alpharetta, GA
Provider details
- NPI number
- 1376371229
- Entity type
- Individual
- Primary specialty
- Psychiatric/Mental Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PMHNP
- Sex
- Female
- Sole proprietor
- Yes
- License
- 180961 (GA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
11720 Amber Park Dr Ste 160
Alpharetta, GA 30009-2271
Phone: (678) 469-3022
Fax: (404) 738-1655
Approximate (ZIP-level) locationGet directions
Mailing address
11720 Amber Park Dr Ste 160
Alpharetta, GA 30009-2271
Registry dates
- Enumerated
- 2024-07-23
- Last updated
- 2026-06-05
- Certified
- 2026-06-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.