Amanda Olivas

Specialist · Phoenix, AZ

Individual Active NPI

NPI number 1124965884

Practice location

1609 E Roma Ave
Phoenix, AZ 85016-5413
Phone
(602) 748-6197

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NPI record

NPI
1124965884
Entity type
Individual (Type 1)
Enumeration date
April 30, 2026
Last updated
April 30, 2026
Certified
April 30, 2026
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Specialist Primary 174400000X — AZ

Mailing address

3621 W Meadowbrook Ave
Phoenix, AZ 85019-3217
Phone
(602) 748-6197

About Amanda Olivas

Amanda Olivas is a healthcare provider registered in the NPI registry with the primary taxonomy Specialist (code 174400000X). The practice location is 1609 E Roma Ave, Phoenix, AZ 85016-5413. The NPI number 1124965884 was assigned on April 30, 2026 and the record was last updated on April 30, 2026.

Frequently asked questions

What is the NPI number of Amanda Olivas?

The NPI number is 1124965884.

What is the phone number of Amanda Olivas?

The phone number listed for the practice location is (602) 748-6197.

Where is Amanda Olivas located?

1609 E Roma Ave, Phoenix, AZ 85016-5413.

What is the taxonomy code for Amanda Olivas?

The primary taxonomy code is 174400000X – Specialist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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