Individual provider · Type 1 NPI
Amanda Sue Macklin, ARNP
Gerontology Nurse Practitioner · Tacoma, WA
NPI number
1740707967
Active
Practice location
630 N Fairview Dr # 256
Tacoma, WA 98406-1015
Mailing address
426 SW Hayworth Dr Unit 203
Port Orchard, WA 98367-5015
Other practice locations
- 426 SW Hayworth Dr Unit 203, Port Orchard, WA 98367-5015 · (253) 313-2284
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | N360791741 (WA) |
| Gerontology Nurse Practitioner Primary | 363LG0600X | AP60784445 (WA) |
| Nurse Practitioner | 363L00000X | AP60784445 (WA) |
Gerontology Nurse Practitioner: Definition to come...
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About NPI 1740707967
Amanda Sue Macklin, ARNP's National Provider Identifier is 1740707967, issued on Aug 28, 2017. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Tacoma, WA. The record was last updated on Mar 29, 2025.