Amanda Gayle Shands
Peer Specialist in Tulsa, OK. Individual provider (NPI-1).
NPI number1245085752
StatusActive
Last updated in NPPESApr 18, 2024
Details
- NPI
- 1245085752
- Entity type
- Individual (NPI-1)
- Name
- Amanda Gayle Shands
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Apr 18, 2024
- Certification date
- Apr 18, 2024
- Last updated
- Apr 18, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 175T00000X | Peer Specialist | – | – | Yes |
Practice location
1728 S Carson AveTulsa, OK 74119-4610
Phone 918-557-8316
Mailing address
1728 S Carson AveTulsa, OK 74119-4610
Phone 918-557-8316
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