IndividualActive
Amanda Wallace
NPI 1811773146 · Registered Nurse · Scottsdale, AZ
Provider details
- NPI number
- 1811773146
- Entity type
- Individual
- Primary specialty
- Registered NurseNursing Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 297127 (AZ)
Specialties & taxonomies
Nursing Service Providers
Practice location
3015 N Scottsdale Rd Unit 4235
Scottsdale, AZ 85251-7263
Phone: (480) 249-8116
Approximate (ZIP-level) locationGet directions
Mailing address
3015 N Scottsdale Rd Unit 4235
Scottsdale, AZ 85251-7263
Registry dates
- Enumerated
- 2023-09-04
- Last updated
- 2023-09-04
- Certified
- 2023-08-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.