Macklin, Amanda Sue
Macklin, Amanda Sue is an sole proprietor health care provider with primary practice located at 630 N Fairview Dr # 256 , Tacoma WA 98406-1015. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Gerontology, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Gerontology is her primary health care specialty. Macklin, Amanda Sue can be contacted via phone (253) 777-1423.Contact Information
Primary practice address
630 N Fairview Dr # 256
Tacoma WA 98406-1015
Phone: (253) 777-1423
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 363LA2200X | N360791741 | Washington |
| Physician Assistants & Advanced Practice Nursing Providers / Gerontology | 363LG0600X | AP60784445 | Washington |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | AP60784445 | Washington |
Profile Details
| NPI number | 1740707967 |
|---|---|
| LBN Legal business name | Macklin, Amanda Sue |
| Credentials | ARNP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 28th, 2017 |
| Last updated | Mar 29th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1740707967 | NPPES |
| Washington | MEDICAID | 2087977 |
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