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

Amanda Olivas

Individual provider Specialist · NPI 1124965884

Amanda Olivas is a Specialist in Phoenix, Arizona. Practices as a sole proprietor. Licensed in Arizona.

Licensed in
AZ
In the registry since
2026

Practice location Address checks out

1609 E Roma Ave
Phoenix, AZ 85016-5413
Phone: (602) 748-6197
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X (AZ)

Record details

NPI number1124965884
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedApril 30, 2026
Last updated in NPPESApril 30, 2026
Certification dateApril 30, 2026
Mailing address3621 W Meadowbrook Ave, Phoenix, AZ 85019-3217

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