Matsuura, Amanda Rena

Matsuura, Amanda Rena is an individual health care provider with primary practice located at 750 Round Valley Dr Ste 201 , Park City UT 84060-7549. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Matsuura, Amanda Rena can be contacted via phone (435) 649-7680.

Contact Information

Primary practice address
750 Round Valley Dr Ste 201 Park City UT 84060-7549
Phone: (435) 649-7680
Fax: (435) 776-9353
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 10994220-4405 Utah
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 10994220-4405 Utah

Profile Details

NPI number 1730654526
LBN Legal business name Matsuura, Amanda Rena
Credentials FNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 8th, 2018
Last updated Mar 31st, 2026 - about 7 months 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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