Chaconas, Amanda Iris

Chaconas, Amanda Iris is an individual health care provider with primary practice located at 1016 W University Ave Ste 206 , Flagstaff AZ 86001-2996. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Gerontology. Physician Assistants & Advanced Practice Nursing Providers / Gerontology is her primary health care specialty. Chaconas, Amanda Iris can be contacted via phone (928) 226-1530.

Contact Information

Primary practice address
1016 W University Ave Ste 206 Flagstaff AZ 86001-2996
Phone: (928) 226-1530
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X RN172540 Arizona
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X TEMP281408 Arizona

Profile Details

NPI number 1467701664
LBN Legal business name Chaconas, Amanda Iris
Credentials DNP
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 4th, 2012
Last updated Jul 10th, 2023 - about 3 years ago

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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Identifiers

StateTypeNumberIssuer
All States NPI 1467701664 NPPES
Arizona MEDICAID 1467701664

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