Provider Demographics
NPI:1780429407
Name:AMANII HEALTH CARE PLLC
Entity type:Organization
Organization Name:AMANII HEALTH CARE PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:WINOKULI
Authorized Official - Middle Name:
Authorized Official - Last Name:BERTRAND
Authorized Official - Suffix:
Authorized Official - Credentials:ARNP
Authorized Official - Phone:781-236-3129
Mailing Address - Street 1:104 S OLYMPIC AVE STE 106
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:WA
Mailing Address - Zip Code:98223-1569
Mailing Address - Country:US
Mailing Address - Phone:781-236-3129
Mailing Address - Fax:
Practice Address - Street 1:104 S OLYMPIC AVE STE 106
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:WA
Practice Address - Zip Code:98223-1569
Practice Address - Country:US
Practice Address - Phone:781-236-3129
Practice Address - Fax:360-925-3132
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-06-25
Last Update Date:2024-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Multi-Specialty