Provider Demographics
NPI:1215823125
Name:CHESSER, AMANDA RACHAEL (MSN-PMHNP, BC)
Entity type:Individual
Prefix:
First Name:AMANDA
Middle Name:RACHAEL
Last Name:CHESSER
Suffix:
Gender:F
Credentials:MSN-PMHNP, BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15555 HUNTINGTON VILLAGE LN APT 248
Mailing Address - Street 2:
Mailing Address - City:HUNTINGTON BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92647-3065
Mailing Address - Country:US
Mailing Address - Phone:517-867-0500
Mailing Address - Fax:
Practice Address - Street 1:15555 HUNTINGTON VILLAGE LN APT 248
Practice Address - Street 2:
Practice Address - City:HUNTINGTON BEACH
Practice Address - State:CA
Practice Address - Zip Code:92647-3065
Practice Address - Country:US
Practice Address - Phone:517-867-0500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-16
Last Update Date:2025-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95035065363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health