Individual provider · Type 1 NPI
Amanda Lee John Titus, RN
General Practice Registered Nurse · Mather, CA
NPI number
1164006235
Active
Practice location
10535 Hospital Way
Mather, CA 95655-4200
Mailing address
1230 S 50th Ave Apt 10
Wausau, WI 54401-8654
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Registered Nurse Primary | 163WG0000X | R36608 (ND) |
General Practice Registered Nurse: Definition to come...
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About NPI 1164006235
Amanda Lee John Titus, RN's National Provider Identifier is 1164006235, issued on May 5, 2021. The primary taxonomy on file is General Practice Registered Nurse (163WG0000X), and the practice location is in Mather, CA. The record was last updated on May 5, 2021.