Search › California › 172V00000X
Amanda Widener
NPI 1659838522 · on the registry since 2019
Practice
- Address
- 1816 8th Ave
Olivehurst, CA 95961 - Phone
- (405) 489-2179
Additional practice sites
- 5620 Arboga Road, Olivehurst, CA
- 230 E St # 203, Marysville, CA
Registry record
- Primary taxonomy
- 172V00000X
172V00000X
- Also registered as
- 101YM0800X
101YP2500X
146N00000X
171M00000X
172A00000X
390200000X - Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2019-04-16
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California