Individual provider · Type 1 NPI
Amanda Olivas
Specialist · Phoenix, AZ
NPI number
1124965884
Active
Practice location
1609 E Roma Ave
Phoenix, AZ 85016-5413
Mailing address
3621 W Meadowbrook Ave
Phoenix, AZ 85019-3217
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | None listed |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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About NPI 1124965884
Amanda Olivas's National Provider Identifier is 1124965884, issued on Apr 30, 2026. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Phoenix, AZ. The record was last updated on Apr 30, 2026.