Markusson, Amanda

Markusson, Amanda is an individual health care provider with primary practice located at 3861 Sepulveda Blvd , Culver City CA 90230-4605. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Acute Care, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Markusson, Amanda can be contacted via phone (310) 450-2191.

Contact Information

Primary practice address
3861 Sepulveda Blvd Culver City CA 90230-4605
Phone: (310) 450-2191
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X APRN9453923 Florida
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X APRN9453923 Florida
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 95001176 California

Profile Details

NPI number 1811391949
LBN Legal business name Markusson, Amanda
Credentials FNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 17th, 2014
Last updated Nov 28th, 2022 - about 4 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 1811391949 NPPES
Florida MEDICAID 101726100

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