Individual provider · Type 1 NPI
Amanda Bacon
Critical Care Medicine Registered Nurse · Loma Linda, CA
NPI number
1346161692
Active
Practice location
11201 Benton St
Loma Linda, CA 92357-1000
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Critical Care Medicine Registered Nurse Primary | 163WC0200X | 95368683 (CA) |
Critical Care Medicine Registered Nurse: Definition to come...
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About NPI 1346161692
Amanda Bacon's National Provider Identifier is 1346161692, issued on Jul 23, 2026. The primary taxonomy on file is Critical Care Medicine Registered Nurse (163WC0200X), and the practice location is in Loma Linda, CA. The record was last updated on Jul 23, 2026.