Amanda Summerville
Amanda Summerville is a Student Health Clinic/Center in Sparks, Nevada. Practices as a sole proprietor. Registered with an NPI since 2021.
- In the registry since
- 2021
Practice location Address checks out
1963 E Prater Way Ste 101Sparks, NV 89434-8938
Phone: (775) 636-6269
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Student Health Clinic/Center (primary) | Taxonomy 261QS1000X |
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Record details
| NPI number | 1043972169 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | October 6, 2021 |
| Last updated in NPPES | October 6, 2021 |
| Certification date | September 2, 2021 |
| Mailing address | 1963 E Prater Way Ste 101, Sparks, NV 89434-8938 |