Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
AMANDA MANCILLA
ActiveAMANDA MANCILLA is a Pediatrics healthcare provider located in GLENDALE, Arizona. NPI 1417452632 is currently active in the NPPES registry. Verify at CMS.
Pediatrics · GLENDALE, AZ
Registration Details
- NPI Number
- 1417452632
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 28, 2018 (8.4143807309792 yrs)
- Last Updated
- Jan 16, 2024
- Licenses
-
D94210 (MD)70186 (AZ)
Practice Information
- Address
-
20325 N 51ST AVE STE 116GLENDALE, AZ, 853085665Browse AZ providers · Browse ZIP 85308
- Phone
- 6029331010
- Fax
- 6029335395
- Primary Specialty
-
Pediatrics
208000000X
- Additional Specialty
- Student (Health Education/Training)
- Additional Specialty
- Pediatrics
Other Pediatrics Providers in GLENDALE, AZ
| Name | Credential | NPI |
|---|---|---|
| MICHAEL I BERMAN | DO | 1053314328 |
| MICHELLE M CABALONA | MD | 1487657748 |
| SHIRLEY JEANETTE SHEINKOPF | M.D. | 1306839261 |
| ALFONSO SALAS | MD | 1689644296 |
| EARL EUGENE ROTH JR. | MD | 1124098579 |
| DR. TANYA Y PITTS | M.D. | 1124062435 |
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.