Amanda Sarah Mahinalani Pascual, RN
Registered Nurse in Pueblo, CO. Individual provider (NPI-1).
NPI number1164090882
StatusActive
Last updated in NPPESJun 17, 2021
Details
- NPI
- 1164090882
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Amanda Sarah Mahinalani Pascual
- Credential
- RN
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 17, 2021
- Certification date
- Jun 17, 2021
- Last updated
- Jun 17, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163W00000X | Registered Nurse | 1653927 | CO | Yes |
Practice location
45825 E State Highway 96Pueblo, CO 81006-9330
Phone 719-549-4174
Mailing address
4485 Dana Pt Apt 201Colorado Springs, CO 80906-9151
Phone 518-698-8749
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