Amanda Janulis, FNP-C
Family Medicine in Goodyear, AZ. Individual provider (NPI-1).
NPI number1124743372
StatusActive
Last updated in NPPESOct 10, 2022
Details
- NPI
- 1124743372
- Entity type
- Individual (NPI-1)
- Name
- Amanda Janulis
- Credential
- FNP-C
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Oct 10, 2022
- Certification date
- May 18, 2022
- Last updated
- Oct 10, 2022
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - NURSE PRACTITIONER
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 281724 | AZ | Yes |
Practice location
18321 W Coolidge StGoodyear, AZ 85395-3010
Phone 623-628-0311
Mailing address
18321 W Coolidge StGoodyear, AZ 85395-3010
Phone 623-628-0311
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 39 Family Medicine Physician providers in Goodyear · All 2,263 providers in Goodyear
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