AMANDA JANE HOLEN (NPI# 1033575113) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033575113 |
| Entity Type | Individual |
| Full Name | AMANDA JANE HOLEN |
| Other Name | AMANDA JANE BROWN |
| Credential | ARNP |
| Practice Address |
202 State Avenue North Kent WA 98031 |
| Mailing Address |
202 State Avenue North Kent WA 98030 |
| Practice Telephone | 2533727866 |
| Mailing Telephone | 2533727866 |
| Enumeration Date | 2016-01-05 |
| Last Update Date | 2016-02-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LW0102X |
Nurse Practitioner Specialization: Women's Health |
AP60620377 | WA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
202 STATE AVENUE NORTH |
| City | KENT |
| State | WA |
| Zip Code | 98031 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861043325 | Deanna Lila Fuller | Technician | 21417 122nd Place Se, Kent, WA 98031 | 2019-09-26 |
| 1386092054 | Amninder Ripsy Nagra-kaur | Licensed Practical Nurse | 10016 Se 218th Pl, Kent, WA 98031 | 2016-06-02 |
| 1578951281 | Katherine Mitchell | Counselor | 12400 Se 233rd St, Kent, WA 98031 | 2015-01-03 |
| 1376804997 | San Lwai | Internal Medicine | 20040 - 120th Ave S.e., Kent, WA 98031 | 2012-05-30 |
| 1013106822 | Fiorella Andrea Diaz | Interpreter | 20029 104th Place Se, Kent, WA 98031 | 2007-10-17 |
| 1750599361 | Northwest Transport | Non-emergency Medical Transport (VAN) | 22627 85th Pl S, Kent, WA 98031 | 2007-05-18 |
| 1750596953 | Rhonda H. James | Licensed Practical Nurse | 21252 94th Pl. S, Kent, WA 98031 | 2007-05-11 |
| 1124172846 | Jeffrey W Baxter | Counselor | 10024 Se 240th, Suite 116 James Street Building, Kent, WA 98031 | 2007-01-22 |
| 1043398407 | Option 1 Northwest Enteral LLC | Durable Medical Equipment & Medical Supplies | 8633 South 212th Street, Kent, WA 98031 | 2006-11-02 |
| 1285610808 | Amber Elise Bryan | Pharmacy Technician | 230240 88th Ave S Apt Ww-202, Kent, WA 98031 | 2005-12-15 |
| Find all providers in zip 98031 | ||||
| Taxonomy Code | 363LW0102X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Women's Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346889250 | Kaylee Meilahn | Nurse Practitioner | 219 State Ave. N, Suite 220, Kent, WA 98030 | 2019-12-26 |
| 1336476225 | Alison Michelle Prudoff | Nurse Practitioner | 1500 Eastway Dr, Kent, OH 44242-3001 | 2009-11-12 |
| 1497783237 | Denise Ryan Lucas | Nurse Practitioner | 138 E Main St, Suite 202, Kent, OH 44240-1407 | 2006-06-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871190835 | Women's Mobile Medical. LLC | Nurse Practitioner | 701 E 49th St, Tacoma, WA 98404-2025 | 2020-10-02 |
| 1992323018 | Megan Louise Bedker | Nurse Practitioner | 3003 80th Ave Se, Mercer Island, WA 98040-2915 | 2020-07-07 |
| 1114557196 | Scarlett Owen Duncan | Nurse Practitioner | 27121 174th Pl Se Ste 201, Covington, WA 98042-4939 | 2020-01-18 |
| 1508403858 | New U Women's Clinic & Aesthetics Pllc | Nurse Practitioner | 35 S Louisiana St, Suite A120, Kennewick, WA 99336 | 2019-12-05 |
| 1174008106 | Nicole Ann Bazzetta | Nurse Practitioner | 1901 S Union Ave Ste 2006, Tacoma, WA 98405-1702 | 2018-09-25 |
| 1174000178 | Emily K Ernst | Nurse Practitioner | 4525 S 19th St, Tacoma, WA 98405-1106 | 2018-07-23 |
| 1770079493 | Erica Lauren Nunez | Nurse Practitioner | 5020 Roosevelt Way Ne Ste 1, Seattle, WA 98105-3644 | 2018-07-05 |
| 1659881001 | Kathryn Conkling | Nurse Practitioner | 10210 State Ave, Marysville, WA 98271-7214 | 2017-10-11 |
| 1467833962 | Bellingham Center for Healthy Motherhood Pllc | Nurse Practitioner | 905 Squalicum Way Ste 104, Bellingham, WA 98225 | 2015-06-11 |
| 1427452440 | Mt. Baker Planned Parenthood | Nurse Practitioner | 470 Reed Street, Unit 2a, Friday Harbor, WA 98250 | 2014-10-20 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on AMANDA JANE HOLEN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.