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

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1023452984

MS. Amanda Bancroft Burrage, MDMPH is a Student in an Organized Health Care Education/Training Program in Tuba City, Arizona. Works from 2 locations. Licensed in Georgia.

Licensed in
GA
In the registry since
2013
Specialties on file
2
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Practice location Address checks out

167 Main St
Tuba City, AZ 86045
Phone: (866) 976-5941
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3181 Sw Sam Jackson Park Road, Portland, OR 97239 — (503) 494-8211

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 76475 (GA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1023452984
Entity typeIndividual (Type 1)
GenderFemale
Credentials MDMPH
Sole proprietorNo
NPI enumeratedApril 23, 2013
Last updated in NPPESMarch 6, 2020
Certification dateMarch 6, 2020
Mailing address167 Main St., Tuba City, AZ 86045

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