Provider Demographics
NPI:1821395740
Name:TOPIK, AMANDA LYNN (NP)
Entity type:Individual
Prefix:
First Name:AMANDA
Middle Name:LYNN
Last Name:TOPIK
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:200 WEST ARBOR DRIVE
Mailing Address - Street 2:8373
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92103-8373
Mailing Address - Country:US
Mailing Address - Phone:619-543-7300
Mailing Address - Fax:616-543-7334
Practice Address - Street 1:200 W ARBOR DR
Practice Address - Street 2:8373
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92103-9001
Practice Address - Country:US
Practice Address - Phone:619-543-7300
Practice Address - Fax:616-543-7334
Is Sole Proprietor?:Yes
Enumeration Date:2011-02-13
Last Update Date:2011-02-13
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CA19049363LA2200X
CA3228364SA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
No364SA2200XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistAdult Health