Provider Demographics
NPI:1568866218
Name:CRICK, AMANDA JANE (ANP-BC)
Entity Type:Individual
Prefix:MS
First Name:AMANDA
Middle Name:JANE
Last Name:CRICK
Suffix:
Gender:F
Credentials:ANP-BC
Other - Prefix:
Other - First Name:AMANDA
Other - Middle Name:JANE
Other - Last Name:SILVESTER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4140 W 190TH ST
Mailing Address - Street 2:
Mailing Address - City:TORRANCE
Mailing Address - State:CA
Mailing Address - Zip Code:90504-5513
Mailing Address - Country:US
Mailing Address - Phone:310-967-1889
Mailing Address - Fax:
Practice Address - Street 1:310 N SAN VICENTE BLVD
Practice Address - Street 2:CEDARS SINAI BREAST CENTER
Practice Address - City:WEST HOLLYWOOD
Practice Address - State:CA
Practice Address - Zip Code:90048
Practice Address - Country:US
Practice Address - Phone:310-423-9424
Practice Address - Fax:310-423-9399
Is Sole Proprietor?:No
Enumeration Date:2014-10-09
Last Update Date:2023-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CANP95000852363LA2200X
CA95000852363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health