Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
AMANDA MARIE ILAG, AGNP
Active Sole ProprietorAMANDA MARIE ILAG, AGNP is a Primary Care Nurse Practitioner healthcare provider located in BERKELEY, California. NPI 1114745783 is currently active in the NPPES registry. Verify at CMS.
Primary Care Nurse Practitioner · BERKELEY, CA
Registration Details
- NPI Number
- 1114745783
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 1, 2024 (1.8269744395315 yrs)
- Last Updated
- Jan 16, 2025
- License
-
95032119 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1901 4TH ST STE 201BERKELEY, CA, 947101986Browse CA providers · Browse ZIP 94710
- Phone
- 5109291400
- Fax
- 5109291414
- Primary Specialty
-
Primary Care Nurse Practitioner
363LP2300X
Other Primary Care Nurse Practitioner Providers in BERKELEY, CA
| Name | Credential | NPI |
|---|---|---|
| MS. JOSEPHINE GUERRERO BILLINGTON | RN, NP | 1215007745 |
| MS. VICKI LOUISE SOMMER | NP | 1417012295 |
| MR. THOMAS J CUTILLO | RN, MSN, FNP-C | 1225201353 |
| MRS. ERIN KATHLEEN ALICIA O'HAIR | NP | 1710259361 |
| HARUKA KELLEY | — | 1770822116 |
| JANELLE ABIGAIL SILVIS | RN, MSN, AGPCNP-BC | 1437820065 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.