Blanco, Amanda Dora
Blanco, Amanda Dora is an individual health care provider with primary practice located at 11234 Anderson St , Loma Linda CA 92350-1716. She recently has 3 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Nursing Service Providers / Critical Care Medicine, Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered. Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered is her primary health care specialty. Blanco, Amanda Dora can be contacted via phone (626) 905-1569.Contact Information
Primary practice address
11234 Anderson St
Loma Linda CA 92350-1716
Phone: (626) 905-1569
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Registered Nurse | 163W00000X | 95065011 | California |
| Nursing Service Providers / Critical Care Medicine | 163WC0200X | 95065011 | California |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered | 367500000X | 95002484 | California |
Profile Details
| NPI number | 1144901349 |
|---|---|
| LBN Legal business name | Blanco, Amanda Dora |
| Credentials | Certified Registered Nurse Anesthetist (CRNA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 31st, 2023 |
| Last updated | Apr 9th, 2025 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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