Individual provider · Type 1 NPI
Amanda Canada, PhD, DNP, PMHNP-BC
Psychiatric/Mental Health Nurse Practitioner · Tacoma, WA
NPI number
1871184010
Active
Practice location
9040 Jackson Ave
Tacoma, WA 98431-0001
Mailing address
8817 Martin Way E Apt 108
Lacey, WA 98516-6808
Other practice locations
- 36065 Sante Fe Ave, Fort Hood, TX 76544 · (210) 563-3299
- 8040 Georgia Ave Ste 170, Silver Spring, MD 20910-4959 · (202) 360-4787
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 772141 (TX) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | AP61321289 (WA) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1871184010
Amanda Canada, PhD, DNP, PMHNP-BC's National Provider Identifier is 1871184010, issued on Jan 31, 2021. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Tacoma, WA. The record was last updated on Aug 19, 2025.