NPI 1316311566

Amanda Tootsie

Practitioner Technician Polacca, AZ

Practice location

Address: Hwy 264 Mp388, Polacca, AZ 86042
Phone: (928) 737-6000

Registered specialties

Technician Primary

Nursing Service Related Providers Taxonomy 374700000X Licence 901373 (AZ)

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Registry record

NPI: 1316311566
Entity type: Individual
Sex (as registered): Female
NPI issued: 25 Nov 2015
Record last updated: 25 Nov 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.