NPI 1760775639 · live from the CMS NPI Registry
Amanda Bouy Balch, WHNP
Nurse Practitioner in San Mateo, CA. National Provider Identifier 1760775639, active.
NPI record
| NPI | 1760775639 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner 363L00000X |
| Practice location | 951 Mariners Island Blvd, San Mateo, CA 94404 |
| Practice phone | 650-285-6927 |
| Mailing address | 10170 Sorrento Valley Rd, Mail Drop Sv-5, San Diego, CA 92121 |
| Enumerated | May 25, 2011 |
| Last updated | February 25, 2022 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner primary | 363L00000X | NP20385 (CA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.