| Provider / Organization | NPI | Date Certified |
|---|---|---|
| AMANDA LEE PETHERS | 1679197883 | 2022-12-03 |
Amanda Lee Pethers is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1679197883. Registration indicates Amanda Lee Pethers is a provider of services with a specialization in Technician: Attendant Care Provider (Nursing Service Related Providers, Technician) (Technician Attendant Care Provider, Nursing Service Related Providers) (Technician, )
| Entity Type | Individual |
| Provider Name | Miss Amanda Lee Pethers |
| Practice Office Address | 15251 S 50TH ST APT 1070 PHOENIX, AZ US |
| Practice Office Telephone | 4802942831 |
| Mailing Address | 15251 S 50TH ST APT 1070 PHOENIX, AZ 850449110 US |
| Business Telephone | 4802942831 |
| Code | Practice | License No State |
|---|---|---|
| 3747A0650X PRIMARY | Technician: Attendant Care Provider Nursing Service Related Providers Technician Technician Attendant Care Provider Nursing Service Related Providers Technician |