Amanda Marie Ilag, AGNP
Amanda Marie Ilag, AGNP is a Nurse Practitioner in Berkeley, California. Qualified in 2024, 2 years ago. Practices with Pine Park Health, Inc, a 23-clinician group, accepts Medicare assignment and offers telehealth. Licensed in California.
- Years since qualifying
- 2
- Licensed in
- CA
- In the registry since
- 2024
What do these letters mean?
- AGNP — Adult-Gerontology Nurse Practitioner
- A nurse practitioner focused on adults and older people.
Practice location Address checks out
1901 4th St Ste 201Berkeley, CA 94710-1986
Phone: (510) 929-1400
Fax: (510) 929-1414
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Primary Care Nurse Practitioner (primary) | Taxonomy 363LP2300X · Licence 95032119 (CA) |
|---|
Record details
| NPI number | 1114745783 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | AGNP |
| Sole proprietor | Yes |
| NPI enumerated | October 1, 2024 |
| Last updated in NPPES | January 16, 2025 |
| Certification date | January 15, 2025 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2024 (2 years in practice) |
| Group practice | Pine Park Health, Inc — 23 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Telehealth | Offers telehealth services |
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Mrs. Erin Kathleen Alicia O'Hair, NP
1901 4th St, Berkeley, CA 94710-1985 · (510) 929-1400