Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Amanda Mancilla

Individual provider Pediatrics Physician · NPI 1417452632

Amanda Mancilla is a Pediatrics Physician in Glendale, Arizona. Works from 3 locations. Licensed in Arizona and Maryland.

Licensed in
AZ, MD
In the registry since
2018
Specialties on file
3
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Practice location Address checks out

20325 N 51st Ave Ste 116
Glendale, AZ 85308-5665
Phone: (602) 933-1010
Fax: (602) 933-5395
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 10084 Reisterstown Rd Ste 200b, Owings Mills, MD 21117-4096 — (410) 526-7993
  • 300 Community Dr, Manhasset, NY 11030-3816 — (516) 562-0100

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 70186 (AZ)
Pediatrics Physician Taxonomy 208000000X · Licence D94210 (MD)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1417452632
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 28, 2018
Last updated in NPPESJanuary 16, 2024
Certification dateJanuary 16, 2024
Mailing address2108 E Thomas Rd Ste 130, Phoenix, AZ 85016-0008

Other providers in Glendale